Doctor Name: | DR. SHADI 'ASHRAFI |
NPI Number: | 1104141738 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | TRN14121 |
Business Practice Address: | 1414 Kuhl Ave Pathology 2b Orlando, FL - 328062008 |
Business Phone Number: | 3218418933 |
Business Fax Number: | 3218436219 |
Mailing Address: | 1414 Kuhl Ave, Pathology 2b ORLANDO |
State: | FL |
Postal Code: | 328062008 |
Phone Number: | 3218418933 |
Fax Number: | 3218436219 |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 04/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | TRN14121 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |