Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 01053347A | IN |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 01053347A | IN |
NPI | 1093777385 |
---|---|
Provider Name | Mohammad Nabi Sharif |
First Address | Indianapolis, IN 46268-3129 |
Second Address | Marion, IN 46952-2677 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2006 |
Last Update Date | 08/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200295960 | (05) | IN |
H23264 | (02) | IN |