Provider Demographics
NPI:1760437925
Name:ASHRAF, KHALEEL K (MD)
Entity Type:Individual
Prefix:DR
First Name:KHALEEL
Middle Name:K
Last Name:ASHRAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 131329
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35213-6329
Mailing Address - Country:US
Mailing Address - Phone:205-271-8541
Mailing Address - Fax:205-271-8555
Practice Address - Street 1:513 BROOKWOOD BLVD
Practice Address - Street 2:STE 275
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-6862
Practice Address - Country:US
Practice Address - Phone:205-502-4700
Practice Address - Fax:205-502-5183
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2021-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL25237207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009996585Medicaid
AL009996595Medicaid
AL009996605Medicaid
AL051528623OtherBLUE CROSS
AL051528625OtherBLUE CROSS
AL051528624OtherBLUE CROSS
AL051528623OtherBLUE CROSS