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NPI Code Detail

MEDICARE: DR. TALAL ZIAD SHARAIHA M.D.

MEDICARE: DR. TALAL ZIAD SHARAIHA 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
1207R00000XInternal Medicine Physician278936NY
2207R00000XInternal Medicine PhysicianMT193122PA
3208M00000XHospitalist Physician278936NY
4207R00000XInternal Medicine Physician051624CT

General Provider Information

NPI Number : 1629225651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TALAL ZIAD SHARAIHA M.D.
Provider Business Mailing Address
First Line : 76 MACDONOUGH ST UNIT 1
Second Line :
City : BROOKLYN
State : NY
Zip : 11216-2502
Country : US
Telephone Number : 215-531-3469
Fax Number : 215-330-4683
Provider Business Practice Location Address
First Line : 375 SEGUINE AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-3932
Country : US
Telephone Number : 718-226-6902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2008
Last Update Date : 03/02/2026

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