Provider Demographics
NPI:1689648735
Name:SARRAF, MOHAMMAD A (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:A
Last Name:SARRAF
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 1:1907 PARK AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-5530
Mailing Address - Country:US
Mailing Address - Phone:908-561-1313
Mailing Address - Fax:908-561-3917
Practice Address - Street 1:1907 PARK AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SOUTH PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07080-5530
Practice Address - Country:US
Practice Address - Phone:908-561-1313
Practice Address - Fax:908-561-3917
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA30954207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1K8793OtherHEALTHNET
NJ1389807Medicaid
NJP1550685OtherOXFORD
NJ0076563000OtherAMERIHEALTH
NJ442013675OtherRAILROAD
NJC52951Medicare UPIN
NJ1389807Medicaid