Provider Demographics
NPI:1902808298
Name:EL-SHALAKANY, ASHRAF AHF (MD)
Entity Type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:AHF
Last Name:EL-SHALAKANY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2855 N UNIVERSITY DR STE 420
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-1408
Mailing Address - Country:US
Mailing Address - Phone:954-340-5178
Mailing Address - Fax:954-340-6732
Practice Address - Street 1:2855 N UNIVERSITY DR
Practice Address - Street 2:SUITE 420
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-1405
Practice Address - Country:US
Practice Address - Phone:954-340-5178
Practice Address - Fax:954-340-6732
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2019-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME87739207RC0001X, 207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2038881OtherCIGNA PROV ID #
FL78940OtherBCBS OF FL PROV ID #
FL267318500Medicaid
FL271070OtherAMERIGROUP MCD PROV ID #
FL7619486OtherAETNA PROV ID
FL1085239OtherHUMANA PROV ID #
FL17698OtherFHHS PROV ID #
FL2297311OtherUNITED H'CARE PROV ID #
FL78940XMedicare PIN