Provider Demographics
NPI:1831953090
Name:ASHRAF ELZANIE MD PLLC
Entity type:Organization
Organization Name:ASHRAF ELZANIE MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHLUNZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-362-5183
Mailing Address - Street 1:1080 KIRTS BLVD STE 700
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4853
Mailing Address - Country:US
Mailing Address - Phone:248-362-2300
Mailing Address - Fax:248-362-5272
Practice Address - Street 1:1080 KIRTS BLVD STE 700
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4853
Practice Address - Country:US
Practice Address - Phone:248-362-2300
Practice Address - Fax:248-362-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty