Provider Demographics
NPI:1982388039
Name:ASHRAF, KANWAL (MD)
Entity Type:Individual
Prefix:
First Name:KANWAL
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:GRADUATE MEDICAL EDUCATION,MEDICAL COLLEGE OF WISCOUSIN
Mailing Address - Street 2:8701 WATERTOWN PLANK ROAD
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226
Mailing Address - Country:US
Mailing Address - Phone:414-955-4578
Mailing Address - Fax:414-955-6409
Practice Address - Street 1:GRADUATE MEDICAL EDUCATION,MEDICAL COLLEGE OF WISCOUSIN
Practice Address - Street 2:8701 WATERTOWN PLANK ROAD
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226
Practice Address - Country:US
Practice Address - Phone:414-955-4578
Practice Address - Fax:414-955-6409
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2024-01-12
Deactivation Date:2024-01-12
Deactivation Code:
Reactivation Date:2024-01-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program