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Individual

ASHRAF E RIAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-5500
Mailing address
PO BOX 4507, JACKSON, MS 39296-4507
(601) 936-0682
(601) 936-0686

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
14768
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00116932
MS
Enumeration date
08/23/2006
Last updated
07/08/2007
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