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NPI Code Detail

MEDICARE: AYA HUSAM ALSHAREEF MD

MEDICARE: AYA HUSAM ALSHAREEF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1306788781
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYA HUSAM ALSHAREEF MD
Provider Business Mailing Address
First Line : 6041 VILLAGE BEND DR
Second Line :
City : DALLAS
State : TX
Zip : 75206-3600
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 407-649-6876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2026
Last Update Date : 04/07/2026

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