Basic Information
| Provider Information | |||||||||
| NPI: | 1891765038 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ASHRAF | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 100 W MCCREIGHT AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 455041885 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373231404 | ||||||||
| FaxNumber: | 9375239555 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 W MCCREIGHT AVE | ||||||||
| Address2: | |||||||||
| City: | SPRINGFIELD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 455041885 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373231404 | ||||||||
| FaxNumber: | 9375239555 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/23/2006 | ||||||||
| LastUpdateDate: | 01/24/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 01/24/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | M1478 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | M1478 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 35.120329 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | 207RI0011X | 35.120329 | OH | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Interventional Cardiology |
ID Information
| ID | Type | State | Issuer | Description | 02831749 | 05 | NY | MEDICAID | 0085901 | 05 | OH | MEDICAID |