Basic Information
Provider Information
NPI: 1366747149
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ASHRAF
FirstName: ZUBAIR
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 NW 152ND ST
Address2:  
City: EDMOND
State: OK
PostalCode: 730132131
CountryCode: US
TelephoneNumber: 4192666770
FaxNumber: 5395250952
Practice Location
Address1: 13401 N WESTERN AVE STE 210
Address2:  
City: OKLAHOMA CITY
State: OK
PostalCode: 731141410
CountryCode: US
TelephoneNumber: 4052724953
FaxNumber: 4052724956
Other Information
ProviderEnumerationDate: 01/25/2011
LastUpdateDate: 08/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X31241OKN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RR0500X31241OKY Allopathic & Osteopathic PhysiciansInternal MedicineRheumatology

No ID Information.


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