Provider Demographics
NPI:1972730885
Name:ASHRAF, FARRUKH (MD)
Entity type:Individual
Prefix:DR
First Name:FARRUKH
Middle Name:
Last Name:ASHRAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:FARRUKH
Other - Middle Name:
Other - Last Name:ASHRAF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:576 FORT LOUDOUN MEDICAL CENTER DR STE 203
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37772-5676
Mailing Address - Country:US
Mailing Address - Phone:865-271-6095
Mailing Address - Fax:
Practice Address - Street 1:576 FORT LOUDOUN MEDICAL CENTER DR STE 203
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37772-5676
Practice Address - Country:US
Practice Address - Phone:865-271-6095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.120022207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1083626Medicaid
TNQ062906Medicaid