MEDICARE: MUHAMMAD S. SHARFUDDIN, M.D., PC

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
1	207R00000X	Internal Medicine Physician	205316-1	NY

General Provider Information

NPI Number	:	1245307040
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUHAMMAD S. SHARFUDDIN, M.D., PC

Provider Business Mailing Address
First Line	:	109 RIDGE RD
Second Line	:
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2219
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	514 GRAMATAN AVE
Second Line	:	P3
City	:	MOUNT VERNON
State	:	NY
Zip	:	10552-3054
Country	:	US
Telephone Number	:	914-699-7427
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MUHAMMAD SARWAR SHARFUDDIN
Credential	:
Telephone Number	:	914-699-7427

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	07/22/2010

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