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NPI 1336557164

NPI 1336557164 : KHALID SHARIF M.D : MORGANTOWN, WV

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General NPI Number Information
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    NPI Number           |    1336557164
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    Entity Type          |    Individual 
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    Provider Name        |    KHALID SHARIF M.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/24/2014
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    Last Update Date     |    12/13/2024
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Provider Practice Location Address
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    Address Line         |    1 MEDICAL CENTER DRIVE ROOM 4601
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    City                 |    MORGANTOWN
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    State                |    WV
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    Zip                  |    26506-9186
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    Country              |    US
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    Telephone            |    304-293-5323
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    Fax                  |    304-293-8724
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Provider Business Mailing Address
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    Address Line         |    100 BRYN MAWR CT E APT 404E
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15221-3809
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    Country              |    US
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    Telephone            |    412-807-0810
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    71433
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    4301511695
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    License Number State |    MI
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Taxonomy #3
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    Taxonomy Code        |    2084P0805X
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    Taxonomy Name        |    Geriatric Psychiatry Physician
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    License Number       |    27948
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    License Number State |    WV
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Taxonomy #4
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    27948
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    License Number State |    WV
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