Active NPI
Ashraf M. Sufi, M.D. LLC
- Gastroenterology Physician
- Olney, MD
National Provider Identifier
1194023234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- D0067403
- Legal business name
- ASHRAF M. SUFI, M.D. LLC
- Practice address
- 18111 Prince Philip Dr
Suite 202
Olney, MD 20832-1513 - Phone
- (301) 919-9689
- NPI assigned
- Mar 13, 2011
- Last updated
- Mar 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ashraf M. Sufi, M.D.
- Title
- Sole Proprietor
- Phone
- (301) 919-9689
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | D0067403 | MD | Primary |
Addresses
Primary practice location
18111 Prince Philip Dr
Suite 202
Olney, MD 20832-1513
Mailing address
4120 Montpelier Rd
Rockville, MD 20853-1959
Phone (301) 919-9689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| D0067403 | Other | MD | STATE LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gastroenterology Physician
- Olney, MD
- NPI 1215908819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300924800000",
"number": "1194023234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4120 MONTPELIER RD",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208531959",
"telephone_number": "301-919-9689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18111 PRINCE PHILIP DR",
"address_2": "SUITE 202",
"city": "OLNEY",
"state": "MD",
"postal_code": "208321513",
"telephone_number": "301-919-9689"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHRAF M. SUFI, M.D. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-13",
"last_updated": "2011-03-24",
"status": "A",
"authorized_official_last_name": "SUFI",
"authorized_official_first_name": "ASHRAF",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "301-919-9689",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MD",
"license": "D0067403",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "D0067403",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olney, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.