1861493538 NPI number — DR. BABAR SHAREEF M.D.

Table of content: DR. BABAR SHAREEF M.D. (NPI 1861493538)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861493538 NPI number — DR. BABAR SHAREEF M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHAREEF
Provider First Name:
BABAR
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861493538
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/20/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2215 NEBRASKA AVE
Provider Second Line Business Mailing Address:
SUITE 2E
Provider Business Mailing Address City Name:
FORT PIERCE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34950-4864
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
772-461-6812
Provider Business Mailing Address Fax Number:
772-461-6816

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2215 NEBRASKA AVE
Provider Second Line Business Practice Location Address:
SUITE 2E
Provider Business Practice Location Address City Name:
FORT PIERCE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34950-4864
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
772-461-6812
Provider Business Practice Location Address Fax Number:
772-461-6816
Provider Enumeration Date:
08/03/2005

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: 207RC0000X , with the licence number:  ME71032 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 055501100 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 110130220 . This is a "MEDICARE RR" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".
  • Identifier: 32117 . This is a "BCBS" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".