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General NPI Number Information
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NPI Number | 1730545708
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Entity Type | Organization
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Legal Business Name | RIAZ SHAREEF MD PA
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 2603 SAN EFRAIN
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City | MISSION
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State | TX
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Zip | 78572-3844
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Country | US
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Telephone | 956-664-9441
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Fax |
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Provider Business Mailing Address
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Address Line | 2603 SAN EFRAIN
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City | MISSION
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State | TX
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Zip | 78572-3844
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Country | US
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Telephone | 956-664-9441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RIAZ SHAREEF
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Credential | MD
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Telephone | 19566649441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | M1441
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License Number State | TX
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