Provider Demographics
NPI:1609048396
Name:ASHFAQ, ROBILA (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBILA
Middle Name:
Last Name:ASHFAQ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4050 BARRANCA PKWY
Mailing Address - Street 2:STE 265
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-7706
Mailing Address - Country:US
Mailing Address - Phone:949-551-4446
Mailing Address - Fax:949-551-4466
Practice Address - Street 1:4050 BARRANCA PKWY
Practice Address - Street 2:STE 265
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-7706
Practice Address - Country:US
Practice Address - Phone:949-551-4446
Practice Address - Fax:949-551-4466
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66267207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A662670Medicaid
CAA66267Medicare PIN
CA00A662670Medicaid