Basic Information
Provider Information
NPI: 1346773611
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHRAF
FirstName: ZOHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: HAROON
OtherFirstName: ZOHA
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 9059 W. LAKE PLEASANT PKWY
Address2: STE E-540
City: PEORIA
State: AZ
PostalCode: 85382
CountryCode: US
TelephoneNumber: 6233223380
FaxNumber: 6233224399
Practice Location
Address1: 1919 E THOMAS RD
Address2:  
City: PHOENIX
State: AZ
PostalCode: 850167710
CountryCode: US
TelephoneNumber: 6029332923
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/04/2017
LastUpdateDate: 06/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
208000000X61139AZY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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