Individual provider · Type 1 NPI

Ashraf Khallaf, MD

Student in an Organized Health Care Education/Training Program · Fort Mitchell, KY

NPI number 1205689718 Active

Practice location

39 Huckleberry Hl Apt 6
Fort Mitchell, KY 41017-3026

Mailing address

170 Morton St
Jamaica Plain, MA 02130-3735

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X3016587 (MA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205689718

Ashraf Khallaf, MD's National Provider Identifier is 1205689718, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fort Mitchell, KY. The record was last updated on Apr 13, 2025.