Provider Demographics
NPI:1619087343
Name:ASHRAF, MOHAMMAD (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMAD
Middle Name:
Last Name:ASHRAF
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 1:2 HURLEY PLZ
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48503-5903
Mailing Address - Country:US
Mailing Address - Phone:810-257-9714
Mailing Address - Fax:810-762-7040
Practice Address - Street 1:2 HURLEY PLZ
Practice Address - Street 2:SUITE 209
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-5903
Practice Address - Country:US
Practice Address - Phone:810-257-9714
Practice Address - Fax:810-762-7040
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMA034277207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIC92113OtherHAP
MI126172OtherCARE CHOICES
MI126172OtherMERCY CARE
MIC7357OtherMCARE
MI0984816OtherHEALTHPLUS
MI0984816OtherHEALTHPLUS