MEDICARE: ABDULLA MOHAMED SHARIFF

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
1	183500000X	Pharmacist	5302033266	MI

General Provider Information

NPI Number	:	1770448128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABDULLA MOHAMED SHARIFF

Provider Business Mailing Address
First Line	:	10136 VERNOR HWY
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1515
Country	:	US
Telephone Number	:	313-258-6660
Fax Number	:	313-841-8846

Provider Business Practice Location Address
First Line	:	10136 VERNOR HWY
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48120-1515
Country	:	US
Telephone Number	:	313-258-6660
Fax Number	:	313-841-8846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2025
Last Update Date	:	12/18/2025

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