Healthcare Provider Details

I. General information

NPI: 1851590525
Provider Name (Legal Business Name): NASIR SHARIFF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 12/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1802 YAKIMA AVE STE 302
TACOMA WA
98405-4499
US

IV. Provider business mailing address

1802 YAKIMA AVE STE 302
TACOMA WA
98405-4499
US

V. Phone/Fax

Practice location:
  • Phone: 253-627-1244
  • Fax: 253-627-6576
Mailing address:
  • Phone: 253-627-1244
  • Fax: 253-627-6576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD60531821
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMT190198
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD447588
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD60531821
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD447588
License Number StatePA
# 6
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberMD60531821
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: