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NPI Code Detail

MEDICARE: DR. EL SHERIF OMAR SHAFIE M.D.

MEDICARE: DR. EL SHERIF OMAR SHAFIE 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
1207Q00000XFamily Medicine PhysicianP5722TX

General Provider Information

NPI Number : 1912138165
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EL SHERIF OMAR SHAFIE M.D.
Provider Business Mailing Address
First Line : 5373 W ALABAMA ST STE 204
Second Line :
City : HOUSTON
State : TX
Zip : 77056-5923
Country : US
Telephone Number : 888-803-3370
Fax Number : 888-803-3331
Provider Business Practice Location Address
First Line : 1220 RIVER BEND DR STE 250
Second Line :
City : DALLAS
State : TX
Zip : 75247-5073
Country : US
Telephone Number : 800-465-3203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2009
Last Update Date : 09/04/2025

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