Healthcare Provider Details

I. General information

NPI: 1114920378
Provider Name (Legal Business Name): AFSER SHARIFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4640 W ALEXIS RD
TOLEDO OH
43623-1182
US

IV. Provider business mailing address

4640 W ALEXIS RD
TOLEDO OH
43623-1182
US

V. Phone/Fax

Practice location:
  • Phone: 419-474-9324
  • Fax: 855-287-0160
Mailing address:
  • Phone: 419-474-9324
  • Fax: 855-287-0160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35083488
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: