Provider Demographics
NPI:1720492267
Name:ASHRAF, HEBA (MD)
Entity Type:Individual
Prefix:
First Name:HEBA
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 1:113 WATERWORKS WAY STE 155
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3163
Mailing Address - Country:US
Mailing Address - Phone:949-619-9090
Mailing Address - Fax:949-612-9091
Practice Address - Street 1:113 WATERWORKS WAY STE 155
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3163
Practice Address - Country:US
Practice Address - Phone:949-258-7229
Practice Address - Fax:949-612-9091
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-12
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301105963207R00000X
CA176034207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine