MEDICARE: DR. MUHAMMAD AL SHARIF D.O.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	4033	IA
2	207RC0000X	Cardiovascular Disease Physician	2024030390	MO
3	207R00000X	Internal Medicine Physician	34.008051	OH

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
8	P00329171	OTHER	DE	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000207286	OTHER	DE	UNISON HEALTH CARE-MCAID
2	464185	OTHER	DE	COVENTRY HEALTH CARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	1558367284	OTHER	DE	DE. PHYSICIAN CARE-MCAID
6	522011HOS	OTHER	DE	BCBS OF DELAWARE-HOSPITAL
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1558367284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD AL SHARIF D.O.

Provider Business Mailing Address
First Line	:	250 S CRESCENT DR
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2926
Country	:	US
Telephone Number	:	641-494-5400
Fax Number	:	641-494-5403

Provider Business Practice Location Address
First Line	:	1235 E CHEROKEE ST STE 2C
Second Line	:
City	:	SPRINGFIELD
State	:	MO
Zip	:	65804-2203
Country	:	US
Telephone Number	:	417-820-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/30/2024

2101 E JEFFERSON ST , KAISER PERMANENTE SPRINGFIELD MEDICARE ENROLLMENT
ROCKVILLE, MD
20852-4908

Practice Phone: 701-922-1000
Practice Fax: 703-922-1039