Healthcare Provider Details

I. General information

NPI: 1427431022
Provider Name (Legal Business Name): SHERIF MOUSTAFA SHERIF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2015
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SPRUCE ST
PHILADELPHIA PA
19107-5701
US

IV. Provider business mailing address

801 SPRUCE ST
PHILADELPHIA PA
19107-5701
US

V. Phone/Fax

Practice location:
  • Phone: 254-231-7207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License NumberMD472521
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: