Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086X0206X | Surgical Oncologist | 036-113647 | IL |
Y | 2086X0206X | Surgical Oncologist | N3303 | TX |
NPI | 1083753677 |
---|---|
Provider Name | Dr. Suhail Sharif |
First Address | Fort Worth, TX 76104-3903 |
Second Address | Fort Worth, TX 76104-3903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 19/09/2012 |