Provider Demographics
NPI:1285722884
Name:ASHRY, HISHAM R (DPM)
Entity type:Individual
Prefix:DR
First Name:HISHAM
Middle Name:R
Last Name:ASHRY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6609 WOOLBRIGHT RD STE 416
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-0910
Mailing Address - Country:US
Mailing Address - Phone:561-244-4980
Mailing Address - Fax:561-244-4979
Practice Address - Street 1:6609 WOOLBRIGHT RD STE 416
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33437-0910
Practice Address - Country:US
Practice Address - Phone:561-244-4980
Practice Address - Fax:561-244-4979
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2018-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2853213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX340281900Medicaid
TX340281900Medicaid
E6523ZMedicare ID - Type Unspecified