Healthcare Provider Details

I. General information

NPI: 1396975868
Provider Name (Legal Business Name): AMIRA A EL SHERIF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2009
Last Update Date: 10/22/2020
Certification Date: 10/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 GALEN ST SE
WASHINGTON DC
20020-4913
US

IV. Provider business mailing address

1500 GALEN ST SE
WASHINGTON DC
20020-4913
US

V. Phone/Fax

Practice location:
  • Phone: 202-469-4699
  • Fax: 202-548-8600
Mailing address:
  • Phone: 202-469-4699
  • Fax: 202-548-8600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD046546
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: