Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0202X | Pediatric Cardiologist | 4301078447 | MI |
Y | 2080P0202X | Pediatric Cardiologist | D0067809 | MD |
NPI | 1164625273 |
---|---|
Provider Name | Dr. Ashraf Saud Harahsheh |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2007 |
Last Update Date | 30/06/2008 |