1003857038 NPI number — RIFFAT SHAFQET ASHAI MD

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003857038 NPI number — RIFFAT SHAFQET ASHAI MD

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

ASHAI

Provider First Name:

RIFFAT

Provider Middle Name:

SHAFQET

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

MD

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1003857038

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

07/08/2007

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

120 SISTER PIERRE DR

Provider Second Line Business Mailing Address:

SUITE 403

Provider Business Mailing Address City Name:

TOWSON

Provider Business Mailing Address State Name:

MD

Provider Business Mailing Address Postal Code:

21204-7516

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

410-823-6408

Provider Business Mailing Address Fax Number:

443-279-0537

Provider First Line Business Practice Location Address:

7130 MINSTREL WAY

Provider Second Line Business Practice Location Address:

SUITE 212

Provider Business Practice Location Address City Name:

COLUMBIA

Provider Business Practice Location Address State Name:

MD

Provider Business Practice Location Address Postal Code:

21045-5201

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

410-290-6940

Provider Business Practice Location Address Fax Number:

410-290-9763

Provider Enumeration Date:

06/09/2006

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 2084P0800X , with the licence number:  D0031560 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 1S0N120G . This is a "MBMD" identifier . This identifiers is of the category "OTHER".
• Identifier: 253526 . This is a "COMP" identifier . This identifiers is of the category "OTHER".
• Identifier: 003059 . This is a "VAL" identifier . This identifiers is of the category "OTHER".
• Identifier: 705BPS . This is a "BSMD" identifier . This identifiers is of the category "OTHER".
• Identifier: 1003542 . This is a "CIGN" identifier . This identifiers is of the category "OTHER".
• Identifier: K45Z . This is a "BSDC" identifier . This identifiers is of the category "OTHER".
• Identifier: 150N . This is a "MBMD" identifier . This identifiers is of the category "OTHER".
• Identifier: 52793709 . This is a "BSMD" identifier . This identifiers is of the category "OTHER".
• Identifier: 220925 . This is a "KAIS" identifier . This identifiers is of the category "OTHER".
• Identifier: 2512798 . This is a "UNHC" identifier . This identifiers is of the category "OTHER".
• Identifier: 0024 . This is a "BSDC" identifier . This identifiers is of the category "OTHER".
• Identifier: 252450 . This is a "COMP" identifier . This identifiers is of the category "OTHER".
• Identifier: 360218 . This is a "MHN" identifier . This identifiers is of the category "OTHER".
• Identifier: 5100382 . This is a "MAMS" identifier . This identifiers is of the category "OTHER".
• Identifier: PVPB117103 . This is a "APS" identifier . This identifiers is of the category "OTHER".