Healthcare Provider Details

I. General information

NPI: 1518427798
Provider Name (Legal Business Name): ZAN SHAREEF MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2019
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 MACCORKLE AVE SE STE 205
CHARLESTON WV
25304-1228
US

IV. Provider business mailing address

3100 MACCORKLE AVE SE STE 205
CHARLESTON WV
25304-1228
US

V. Phone/Fax

Practice location:
  • Phone: 304-388-2303
  • Fax: 304-388-2390
Mailing address:
  • Phone: 304-388-2303
  • Fax: 304-388-2390

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberU2010
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number35518
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberU2010
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberU2010
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35518
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: