Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC006609 | PA |
NPI | 1346628229 |
---|---|
Provider Name | Muhammad Sharif |
First Address | Philadelphia, PA 19116-3349 |
Second Address | Philadelphia, PA 19116-3349 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2015 |
Last Update Date | 12/05/2015 |