Provider Demographics
NPI:1588224232
Name:SADEK, AHMED ASHRAF (MD)
Entity Type:Individual
Prefix:DR
First Name:AHMED
Middle Name:ASHRAF
Last Name:SADEK
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 1:33 POND AVE APT 1110
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7159
Mailing Address - Country:US
Mailing Address - Phone:608-215-3923
Mailing Address - Fax:
Practice Address - Street 1:33 POND AVE APT 1110
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7159
Practice Address - Country:US
Practice Address - Phone:608-215-3923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-15
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNA208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery