Provider Demographics
NPI:1275327249
Name:ASHRAF GANJOUEI, AMIR (MD, MPH)
Entity type:Individual
Prefix:
First Name:AMIR
Middle Name:
Last Name:ASHRAF GANJOUEI
Suffix:
Gender:
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1417 5TH AVE APT F
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-3806
Mailing Address - Country:US
Mailing Address - Phone:415-960-5395
Mailing Address - Fax:
Practice Address - Street 1:1417 5TH AVE APT F
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-3806
Practice Address - Country:US
Practice Address - Phone:415-960-5395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program