Healthcare Provider Details

I. General information

NPI: 1053394098
Provider Name (Legal Business Name): UZMA SHARIF M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 06/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BOWMAN DR
VOORHEES NJ
08043-9623
US

IV. Provider business mailing address

100 E PENN SQ FL 9
PHILADELPHIA PA
19107-3377
US

V. Phone/Fax

Practice location:
  • Phone: 267-425-5400
  • Fax: 267-425-9299
Mailing address:
  • Phone: 267-425-9412
  • Fax: 267-425-9299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number213393
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberMD13531
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD418721
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: