Provider Demographics
NPI:1760471692
Name:KORAYM, ASHRAF (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:
Last Name:KORAYM
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 1:2365 LAKEVIEW DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45431-4600
Mailing Address - Country:US
Mailing Address - Phone:937-376-8336
Mailing Address - Fax:937-376-8352
Practice Address - Street 1:2365 LAKEVIEW DR
Practice Address - Street 2:SUITE D
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45431-4600
Practice Address - Country:US
Practice Address - Phone:937-376-8336
Practice Address - Fax:937-376-8352
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH85786207RC0001X
OH35085786207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH611552124027OtherCARESOURCE
OH000000561226OtherANTHEM
OH000000363282OtherANTHEM
OH7402639OtherAETNA
OH306379OtherAMERIGROUP
OH2602713Medicaid
OHP00256021OtherRAILROAD MEDICARE
OH4156954Medicare PIN
OH000000363282OtherANTHEM
OH2602713Medicaid
OH306379OtherAMERIGROUP
OH611552124027OtherCARESOURCE