Provider Demographics
NPI:1710933619
Name:SAHAF, ASHRAF M (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:M
Last Name:SAHAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:M
Other - Middle Name:ASHRAF
Other - Last Name:SAHAF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:6030 EDWARD AVENUE
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:NY
Mailing Address - Zip Code:14108-1009
Mailing Address - Country:US
Mailing Address - Phone:716-778-7994
Mailing Address - Fax:716-778-6200
Practice Address - Street 1:6030 EDWARD AVENUE
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:NY
Practice Address - Zip Code:14108-1009
Practice Address - Country:US
Practice Address - Phone:716-778-7994
Practice Address - Fax:716-778-6200
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1327221207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00632935Medicaid
NY078331Medicare ID - Type Unspecified
NY00632935Medicaid