Active NPI
Mahboob Ashraf, MD
- Internal Medicine Physician
- Putnam, CT
National Provider Identifier
1467553248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 044688
- Practice address
- 320 Pomfret St
Putnam, CT 06260-1836 - Phone
- (860) 928-6541
- Fax
- (860) 963-6450
- NPI assigned
- Sep 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 044688 | CT | Primary |
Addresses
Primary practice location
320 Pomfret St
Putnam, CT 06260-1836
Mailing address
41 Seneca Dr
Meriden, CT 06450-7413
Phone (203) 641-6836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044688 | Other | CT | STATE LICENSE |
Other names 1
- Dr. Mahboob Ashraf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 044688 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matrix House Physicians PA | Internal Medicine | Past | Accepting new patients |
| Hospital Physician Services, LLLP | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Westminster, MD
- NPI 1457302713
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1467553248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 SENECA DR",
"city": "MERIDEN",
"state": "CT",
"postal_code": "064507413",
"telephone_number": "203-641-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 POMFRET ST",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062601836",
"telephone_number": "860-928-6541",
"fax_number": "860-963-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHRAF",
"first_name": "MAHBOOB",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-26",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CT",
"license": "044688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "044688",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAHBOOB",
"last_name": "ASHRAF",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.