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NPI Code Detail

MEDICARE: SHERIF S TAWFIK M.D.

MEDICARE: SHERIF S TAWFIK M.D.
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
12080P0202XPediatric Cardiology Physician0101048610VA
2207RA0002XAdult Congenital Heart Disease Physician0101048610VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265410757
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERIF S TAWFIK M.D.
Provider Business Mailing Address
First Line : PO BOX 37174
Second Line :
City : BALTIMORE
State : MD
Zip : 21297-3174
Country : US
Telephone Number : 571-423-5699
Fax Number : 571-423-5698
Provider Business Practice Location Address
First Line : 8260 WILLOW OAKS CORPORATE DR STE 400
Second Line :
City : FAIRFAX
State : VA
Zip : 22031-4513
Country : US
Telephone Number : 703-573-0504
Fax Number : 703-573-4856
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2006
Last Update Date : 04/26/2022

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Directions to “ SHERIF S TAWFIK M.D.” Practice Location

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