Mirza M Ashraf & Mulazim H Khan

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

003616-1 Issued in NY

Legal business name

MIRZA M ASHRAF & MULAZIM H KHAN

Doing business as

Philadelphia Medical Center

Practice address

32787 US RT 11
Philadelphia, NY 13673

Phone

(315) 642-0026

Fax

(315) 642-1028

NPI assigned

Jul 17, 2006

Last updated

Mar 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Catherine M Murphy, CPC

Title

Manager

Phone

(315) 493-1450

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Philadelphia Medical Center Doing business as

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.

• Mirza Maqbool Ashraf, M.D.

  • Cardiovascular Disease Physician
  • Carthage, NY
  • NPI 1205885514
  NPD

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1669490694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "13673",
            "telephone_number": "315-642-0026",
            "fax_number": "314-642-1028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32787 US RT 11",
            "city": "PHILADELPHIA",
            "state": "NY",
            "postal_code": "13673",
            "telephone_number": "315-642-0026",
            "fax_number": "315-642-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRZA M ASHRAF & MULAZIM H KHAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "315-493-1450",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "003616-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02568298",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01188238",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "119064",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Philadelphia Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valerie Christine Gamble, DPT
• Gouverneur Family Health NP
• Indian River Ambulance Service Inc
• Indian River Central School District
• Erin Ashley Kiechle, LMHC
• Joseph Timothy Shanly, LCSW-R
• Alexis Catherine Shippee, PT, DPT
• Catherine Ann Slocum-Bell, MS, CCC
• St Lawrence Psychiatric Center
• Thomas P. McCue IV DDS PC

• Medical Physician Assistant in Philadelphia, NY
• Providers in Philadelphia, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.