Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D0064242 | MD |
N | 111NI0900X | Internist | D0064242 | MD |
Y | 207RH0003X | Hematology & Oncology | 01068210A | IN |
N | 207RX0202X | Medical Oncology | 01068210A | IN |
NPI | 1053348326 |
---|---|
Provider Name | Ubaidullah Sharief |
First Address | Indianapolis, IN 46290-1024 |
Second Address | Anderson, IN 46016-4338 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 29/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200986630 | (05) | IN |