Organization Active NPI

Mohammad R Ashraf MD

  • Pediatrics Physician
  • Granite City, IL
National Provider Identifier
1427120625
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MOHAMMAD R ASHRAF MD
Practice address
1420 20TH St
Granite City, IL 62040-4607
Phone
(618) 877-8200
Fax
(618) 877-8206
NPI assigned
Nov 14, 2006
Last updated
Feb 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohammad D Ashraf, MD
Title
Owner
Phone
(618) 877-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X IL Primary

Addresses

Primary practice location

1420 20TH St
Granite City, IL 62040-4607

Mailing address

103B Southpointe
Edwardsville, IL 62025-3651
Phone (618) 692-9640

National Provider Directory

National Provider Directory

Locations

1420 20th St
Granite City, IL 62040
Phone (618) 877-8200

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1427120625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103B SOUTHPOINTE",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253651",
            "telephone_number": "618-692-9640",
            "fax_number": "618-692-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 20TH ST",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404607",
            "telephone_number": "618-877-8200",
            "fax_number": "618-877-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMAD R ASHRAF MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-877-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.