Basic Information
| Provider Information | |||||||||
| NPI: | 1134393986 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASHRAF | ||||||||
| FirstName: | AZRA | ||||||||
| MiddleName: | ABIDA | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4660 KENMORE AVE | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223041313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014817719 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 4660 KENMORE AVE STE 220 | ||||||||
| Address2: | |||||||||
| City: | ALEXANDRIA | ||||||||
| State: | VA | ||||||||
| PostalCode: | 223041306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7038324000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/14/2008 | ||||||||
| LastUpdateDate: | 04/17/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/17/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | D81566 | MD | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 208600000X | AS4148501 E226121 | MA | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0122X | D81566 | MD | N | Allopathic & Osteopathic Physicians | Surgery | Plastic and Reconstructive Surgery | 208200000X | MD439621 | PA | Y | Allopathic & Osteopathic Physicians | Plastic Surgery |
No ID Information.