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NPI Code Detail

MEDICARE: SHARIFA G WAHAB

MEDICARE: SHARIFA G WAHAB
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376J00000XHomemaker

General Provider Information

NPI Number : 1225679384
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARIFA G WAHAB
Provider Business Mailing Address
First Line : 9680 W TROPICANA AVE # SIT142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8245
Country : US
Telephone Number : 702-955-8345
Fax Number :
Provider Business Practice Location Address
First Line : 9680 W TROPICANA AVE # SIT142
Second Line :
City : LAS VEGAS
State : NV
Zip : 89147-8245
Country : US
Telephone Number : 702-955-8345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 09/30/2019

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Directions to “ SHARIFA G WAHAB ” Practice Location

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