Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | 4301072120 | MI |
NPI | 1225083967 |
---|---|
Provider Name | Dr. Ashraf H Berry |
First Address | Dearborn, MI 48124-1235 |
Second Address | Warren, MI 48093-4590 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2006 |
Last Update Date | 19/01/2022 |