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Individual

MOHAMMAD ASHFAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1250 8TH AVE, SUITE 515, FORT WORTH, TX 76104-4124
(817) 922-9968
(817) 922-9762
Mailing address
1250 8TH AVE, SUITE 515, FORT WORTH, TX 76104-4124
(817) 922-9968
(817) 922-9762

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L1519
TX
207RG0100X
Gastroenterology Physician
Primary
35-096757
OH
207RI0008X
Hepatology Physician
L1519
TX
207RT0003X
Transplant Hepatology Physician
L1519
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
181875901
TX
05
181875902
TX
05
3123042
OH
01
8S2324
BCBSTX
TX
Enumeration date
06/10/2006
Last updated
03/20/2017
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