Provider Demographics
NPI:1922041649
Name:AZIZ-ASHRAF, FATIMA ZEHRA (MD)
Entity Type:Individual
Prefix:DR
First Name:FATIMA
Middle Name:ZEHRA
Last Name:AZIZ-ASHRAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4250 JOHN MARR DR
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3203
Mailing Address - Country:US
Mailing Address - Phone:703-854-1298
Mailing Address - Fax:703-854-1305
Practice Address - Street 1:4250 JOHN MARR DR
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3203
Practice Address - Country:US
Practice Address - Phone:703-854-1298
Practice Address - Fax:703-854-1305
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0080531207R00000X
VA0101259185207R00000X, 207R00000X
WV21204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WVP00286295OtherMEDICARE RAILROAD
WVP00286295OtherMEDICARE RAILROAD
WVP00286295OtherMEDICARE RAILROAD
WV2006680000Medicaid
H98521Medicare UPIN