Provider Demographics
NPI:1144290081
Name:NASHED, ASHRAF N (MD)
Entity type:Individual
Prefix:DR
First Name:ASHRAF
Middle Name:N
Last Name:NASHED
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 1:415 E. ROLLING OAKS DR.
Mailing Address - Street 2:SUITE 250
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361
Mailing Address - Country:US
Mailing Address - Phone:805-230-3112
Mailing Address - Fax:
Practice Address - Street 1:415 E. ROLLING OAKS DR.
Practice Address - Street 2:SUITE 250
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91361
Practice Address - Country:US
Practice Address - Phone:805-338-3449
Practice Address - Fax:805-230-3113
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55581207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A555810Medicaid
CA00A555810Medicaid
CAWA55581CMedicare PIN