Farhan Ashraf, MD

Individual provider Active NPI Internal Medicine Physician · Pawtucket, RI

NPI 1982019378 · NPPES record last updated Jun 25, 2014

Key facts

NPI
1982019378
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
LP03125 (RI)
Practice address
111 Brewster St
Pawtucket, RI 02860-4474
Phone
(401) 729-2258
Fax
(401) 729-3343
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
LP03125RIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Imaging LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X LP03125 RI Yes

Addresses

Primary practice location

111 Brewster St
Pawtucket, RI 02860-4474

Mailing address

111 Brewster St
Pawtucket, RI 02860-4474
Phone (401) 729-2258

Other providers in Pawtucket, RI

All providers in Pawtucket, RI · Internal Medicine Physician in Rhode Island

Sources for this page

Verify at the official NPI Registry.