Provider Demographics
NPI:1922070853
Name:ASHRAF, HUMAIRA (MD)
Entity Type:Individual
Prefix:
First Name:HUMAIRA
Middle Name:
Last Name: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 1:61 KIRKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06117-2832
Mailing Address - Country:US
Mailing Address - Phone:860-231-8216
Mailing Address - Fax:
Practice Address - Street 1:621 HARTFORD RD
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06053-1526
Practice Address - Country:US
Practice Address - Phone:860-229-1113
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT041178207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
125364Medicare UPIN