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NPI Code Detail

MEDICARE: DR. SHERIF ELBARNASHAWY BDS, MSD

MEDICARE: DR. SHERIF ELBARNASHAWY BDS, MSD
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
11223X0400XOrthodontics and Dentofacial Orthopedics DentistryRES.003792OH
21223X0400XOrthodontics and Dentofacial Orthopedics Dentistry35891TX

General Provider Information

NPI Number : 1477073310
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHERIF ELBARNASHAWY BDS, MSD
Provider Business Mailing Address
First Line : 26430 WHITE RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-1425
Country : US
Telephone Number : 631-452-6253
Fax Number :
Provider Business Practice Location Address
First Line : 2539 JUDSON RD
Second Line :
City : LONGVIEW
State : TX
Zip : 75605-4643
Country : US
Telephone Number : 903-331-0359
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2017
Last Update Date : 01/13/2020

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