Basic Information
Provider Information
NPI: 1073079109
EntityType: 2
ReplacementNPI:  
OrganizationName: ZUBAIR ASHRAF MD PLLC
LastName:  
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Mailing Information
Address1: 301 NW 152ND ST
Address2:  
City: EDMOND
State: OK
PostalCode: 730132131
CountryCode: US
TelephoneNumber: 4192666770
FaxNumber:  
Practice Location
Address1: 301 NW 152ND ST
Address2:  
City: EDMOND
State: OK
PostalCode: 730132131
CountryCode: US
TelephoneNumber: 4192666770
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/13/2019
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
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AuthorizedOfficialLastName: ASHRAF
AuthorizedOfficialFirstName: ZUBAIR
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AuthorizedOfficialTitleorPosition: PHYSICIAN
AuthorizedOfficialTelephone: 4192666770
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 
207RR0500X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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