Provider Demographics
NPI:1902072077
Name:DIAB, ASHRAF M (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:M
Last Name:DIAB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:14729 182ND ST
Mailing Address - Street 2:BOX 1582
Mailing Address - City:SPRINGFIELD GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11413-4058
Mailing Address - Country:US
Mailing Address - Phone:551-208-2996
Mailing Address - Fax:
Practice Address - Street 1:14729 182ND ST
Practice Address - Street 2:BOX 1582
Practice Address - City:SPRINGFIELD GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11413-4058
Practice Address - Country:US
Practice Address - Phone:551-208-2996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL22433282N00000X
ARE-3836207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No282N00000XHospitalsGeneral Acute Care Hospital