Ashraf, Mohammad Reza S
Ashraf, Mohammad Reza S is an sole proprietor health care provider with primary practice located at 1420 20Th St , Granite City IL 62040-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Ashraf, Mohammad Reza S can be contacted via phone (618) 877-8200.Contact Information
Primary practice address
1420 20Th St
Granite City IL 62040-4607
Phone: (618) 877-8200
Fax: (618) 877-8206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036048540 | Illinois |
Profile Details
| NPI number | 1033208897 |
|---|---|
| LBN Legal business name | Ashraf, Mohammad Reza S |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 6th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033208897 | NPPES |
| Illinois | MEDICAID | 036048540 |
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