| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MEHDI ASHRAF | 1598369423 | 2020-11-22 |
| Entity Type | Individual |
| Provider Name | Mehdi Ashraf |
| Practice Office Address | 524 E STROOP RD DAYTON, OH US |
| Practice Office Telephone | 9372940523 |
| Practice Office Fax | 9372948996 |
| Mailing Address | 524 E STROOP RD DAYTON, OH 454293225 US |
| Business Telephone | 9372940523 |
| Code | License No | State |
|---|---|---|
| 183500000X PRIMARY | 03117096 | OH |