Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | D0063061 | MD |
Y | 208600000X | Surgeon | D0063061 | MD |
N | 2082S0105X | Plastic Hand Surgeon | D0063061 | MD |
NPI | 1164451027 |
---|---|
Provider Name | Dr. Syed Salman Ashruf |
First Address | Baltimore, MD 21228-2531 |
Second Address | Glen Burnie, MD 21061-5577 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 26/12/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I07800 | (02) |