Healthcare Provider Details

I. General information

NPI: 1346496304
Provider Name (Legal Business Name): MUHAMMAD SHERIFF HEFZY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2008
Last Update Date: 12/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 CHERRY ST STE M800
TOLEDO OH
43608-2676
US

IV. Provider business mailing address

5501 BONNIEBROOK RD
SYLVANIA OH
43560-3705
US

V. Phone/Fax

Practice location:
  • Phone: 419-251-3292
  • Fax: 419-251-7821
Mailing address:
  • Phone: 419-215-7745
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number53486
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number35.095056
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: