Provider Demographics
NPI:1215953278
Name:ALI, AFSHAN ASHRAF (MD)
Entity type:Individual
Prefix:
First Name:AFSHAN
Middle Name:ASHRAF
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AFSHAN
Other - Middle Name:ASHRAF
Other - Last Name:ALI-NAZIR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8185
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92728-8185
Mailing Address - Country:US
Mailing Address - Phone:714-545-6400
Mailing Address - Fax:714-966-5032
Practice Address - Street 1:11190 WARNER AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4019
Practice Address - Country:US
Practice Address - Phone:714-545-6400
Practice Address - Fax:714-966-5032
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA541872080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4762434OtherMEDICAL PROVIDER NUMBER
CAG22994Medicare UPIN