Provider Demographics
NPI:1225667835
Name:ASHMEIK, ALWALID KHALIFA (MD)
Entity type:Individual
Prefix:
First Name:ALWALID
Middle Name:KHALIFA
Last Name:ASHMEIK
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:WALID
Other - Middle Name:KHALIFA
Other - Last Name:ASHMEIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:513 PARNASSUS AVE RM S257A
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2205
Mailing Address - Country:US
Mailing Address - Phone:415-476-8358
Mailing Address - Fax:
Practice Address - Street 1:513 PARNASSUS AVE RM S257A
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2205
Practice Address - Country:US
Practice Address - Phone:415-476-8358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA1892902085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program