Provider Demographics
NPI:1609973015
Name:ASHRAF, YASSIR (MD)
Entity Type:Individual
Prefix:DR
First Name:YASSIR
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YASSIR
Other - Middle Name:A
Other - Last Name:ASHRAF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2002 GARTH ROAD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521
Mailing Address - Country:US
Mailing Address - Phone:281-422-7970
Mailing Address - Fax:281-422-7960
Practice Address - Street 1:2002 GARTH ROAD
Practice Address - Street 2:SUITE 120
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3900
Practice Address - Country:US
Practice Address - Phone:281-422-7970
Practice Address - Fax:281-422-7960
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0540207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX327485403Medicaid
TX8FX453OtherBLUE CROSS BLUE SHIELD
TX327485403Medicaid