MEDICARE: SHARIF HOLDINGS

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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1467294181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARIF HOLDINGS

Provider Business Mailing Address
First Line	:	4240 KEARNY MESA RD STE 120
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111-3771
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4626 MERCURY ST. SUITE 2200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92111
Country	:	US
Telephone Number	:	619-307-4715
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NUR S OSMAN
Credential	:
Telephone Number	:	619-307-4715

Provider Enumeration Date	:	06/12/2024
Last Update Date	:	06/12/2024

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