Provider Demographics
NPI:1568860567
Name:ASHFAQ, MUNAZA
Entity Type:Individual
Prefix:
First Name:MUNAZA
Middle Name:
Last Name:ASHFAQ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2339 IRVING ST STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1620
Mailing Address - Country:US
Mailing Address - Phone:415-221-1591
Mailing Address - Fax:415-221-3274
Practice Address - Street 1:2339 IRVING ST STE 200
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1620
Practice Address - Country:US
Practice Address - Phone:415-221-1591
Practice Address - Fax:415-221-3274
Is Sole Proprietor?:No
Enumeration Date:2014-12-08
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnostic