Provider Demographics
NPI:1760414205
Name:THABET, ASHRAF (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:THABET
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:27 BOWDOIN ST
Mailing Address - Street 2:APARTMENT #3B
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-4243
Mailing Address - Country:US
Mailing Address - Phone:917-509-0942
Mailing Address - Fax:
Practice Address - Street 1:MASSACHUSETTS GENERAL
Practice Address - Street 2:55 FRUIT ST, FND-216
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:917-509-0942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2290922085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology