Provider Demographics
NPI:1568445666
Name:ANDRAWIS, ASHRAF GAYED (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:GAYED
Last Name:ANDRAWIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1543 KINGSLEY AVE
Mailing Address - Street 2:BLDG 3
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4535
Mailing Address - Country:US
Mailing Address - Phone:904-264-0770
Mailing Address - Fax:904-264-0670
Practice Address - Street 1:1543 KINGSLEY AVE
Practice Address - Street 2:BLDG 3
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4535
Practice Address - Country:US
Practice Address - Phone:904-264-0770
Practice Address - Fax:904-264-0670
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME90040208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL16753ZOtherMEDICARE GROUP NUMBER
FL16753ZOtherMEDICARE GROUP NUMBER