Healthcare Provider Details

I. General information

NPI: 1336377480
Provider Name (Legal Business Name): SHERIF R SELIM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2009
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 ALLENTOWN RD STE 502
CAMP SPRINGS MD
20746-4653
US

IV. Provider business mailing address

5801 ALLENTOWN RD STE 502
CAMP SPRINGS MD
20746-4653
US

V. Phone/Fax

Practice location:
  • Phone: 240-427-1630
  • Fax: 240-439-8285
Mailing address:
  • Phone: 240-427-1630
  • Fax: 240-439-8285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD78319
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: