Provider Demographics
NPI:1760613673
Name:EL-DABH, ASHRAF N (MD)
Entity Type:Individual
Prefix:
First Name:ASHRAF
Middle Name:N
Last Name:EL-DABH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ASHRAF
Other - Middle Name:NEYAZI AYAD ZAKA
Other - Last Name:EL-DABH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 2147
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33902-2147
Mailing Address - Country:US
Mailing Address - Phone:239-343-9700
Mailing Address - Fax:239-343-9699
Practice Address - Street 1:8960 COLONIAL CENTER DR STE 302
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7810
Practice Address - Country:US
Practice Address - Phone:239-343-9700
Practice Address - Fax:239-343-9699
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME144136207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL106093500Medicaid
NY131740114OtherMONTEFIORE MEDICAL CENTER