Healthcare Provider Details

I. General information

NPI: 1003347220
Provider Name (Legal Business Name): SHERIEF ZAMZAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2017
Last Update Date: 06/10/2024
Certification Date: 06/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1025 N DOUTY ST SUITE 105
HANFORD CA
93230-3722
US

IV. Provider business mailing address

3285 CLAREMONT WAY
NAPA CA
94558-3313
US

V. Phone/Fax

Practice location:
  • Phone: 559-537-0229
  • Fax: 559-537-0226
Mailing address:
  • Phone: 707-258-2500
  • Fax: 707-258-4905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA163719
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: