Provider Demographics
NPI:1023443074
Name:JMEIAN, ASHRAF (MD)
Entity type:Individual
Prefix:
First Name:ASHRAF
Middle Name:
Last Name:JMEIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:ASHRAF SAMI BOTROS
Other - Middle Name:
Other - Last Name:JMEIAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 947313
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30394-7313
Mailing Address - Country:US
Mailing Address - Phone:386-231-3619
Mailing Address - Fax:386-672-9904
Practice Address - Street 1:910 WILLISTON PARK PT STE 1000
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2163
Practice Address - Country:US
Practice Address - Phone:407-833-8028
Practice Address - Fax:407-833-8033
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME164852207RC0000X
KS0443890207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty