Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 0101048610 | VA |
NPI | 1265410757 |
---|---|
Provider Name | Sherif S Tawfik |
First Address | Fairfax, VA 22031-5207 |
Second Address | Fairfax, VA 22031-5207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F90331 | (02) |