Provider Demographics
NPI:1841447885
Name:M. ASHRAF SAHAF, PHYSICIAN , P.C.
Entity type:Organization
Organization Name:M. ASHRAF SAHAF, PHYSICIAN , P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHRAF
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-778-7994
Mailing Address - Street 1:6030 EDWARD AVE
Mailing Address - Street 2:
Mailing Address - City:NEWFANE
Mailing Address - State:NY
Mailing Address - Zip Code:14108-1009
Mailing Address - Country:US
Mailing Address - Phone:716-778-7994
Mailing Address - Fax:716-778-6200
Practice Address - Street 1:6030 EDWARD AVE
Practice Address - Street 2:
Practice Address - City:NEWFANE
Practice Address - State:NY
Practice Address - Zip Code:14108-1009
Practice Address - Country:US
Practice Address - Phone:716-778-7994
Practice Address - Fax:716-778-6200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY132722-1207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00632935Medicaid
NY00632935Medicaid
NYD72745Medicare UPIN