Individual
DR. MOHAMMAD ASHFAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001741
VA
152W00000X
Optometrist
TA2098
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396992145
—
VA
01
—
363066
ANTHEM BCBS
VA
Enumeration date
08/23/2008
Last updated
10/16/2013
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