Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | D81566 | MD |
Y | 208200000X | Surgeon | MD439621 | PA |
Y | 208600000X | Surgeon | MD439621 | PA |
N | 208200000X | Surgeon | AS4148501 E226121 | MA |
N | 208600000X | Surgeon | AS4148501 E226121 | MA |
N | 2086S0122X | Plastic and Reconstructive Surgery | D81566 | MD |
NPI | 1134393986 |
---|---|
Provider Name | Dr. Azra Abida Ashraf |
First Address | Alexandria, VA 22304-1313 |
Second Address | Alexandria, VA 22304-1306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 17/04/2020 |