Individual
DR. MAHBOOB ASHRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 POMFRET ST, PUTNAM, CT 06260-1836
(860) 928-6541
(860) 963-6450
Mailing address
41 SENECA DR, MERIDEN, CT 06450-7413
(203) 641-6836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044688
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
044688
STATE LICENSE
CT
Enumeration date
09/26/2006
Last updated
05/02/2012
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