1487789384 NPI number — DR. GIATH SHARI MD

Table of content: DR. GIATH SHARI MD (NPI 1487789384)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487789384 NPI number — DR. GIATH SHARI MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHARI
Provider First Name:
GIATH
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALSHARI
Provider Other First Name:
MOHAMMED GHYATH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487789384
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4 ALLEGHENY CTR FL 7
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15212-5227
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-330-6060
Provider Business Mailing Address Fax Number:
412-330-5844

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3824 NORTHERN PIKE STE 820
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MONROEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15146-2141
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-457-0424
Provider Business Practice Location Address Fax Number:
412-457-0426
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RP1001X , with the licence number:  ME 103442 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RP1001X , with the licence number: MD430161 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0200X , with the licence number: MD430161 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1024702970001 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: PRO8029 . This is a "QHP" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 000764200 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3052280 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: P00727723 . This is a "RR MEDICARE" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 30426 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 3810018172 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".




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