Healthcare Provider Details

I. General information

NPI: 1770568370
Provider Name (Legal Business Name): AVERELL HIRSCH SHERKER MD, FRCP(C)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IRVING ST NW SUITE 3A3A7B
WASHINGTON DC
20010-2976
US

IV. Provider business mailing address

110 IRVING ST NW SUITE 3A3A7B
WASHINGTON DC
20010-2976
US

V. Phone/Fax

Practice location:
  • Phone: 202-877-7108
  • Fax: 202-877-8163
Mailing address:
  • Phone: 202-877-7108
  • Fax: 202-877-8163

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberCS0212531
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberG65775
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: