Provider Demographics
NPI:1073621975
Name:M.S. SHARIFF, M.D., P.A.
Entity Type:Organization
Organization Name:M.S. SHARIFF, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MAHMOOD
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHARIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-228-9515
Mailing Address - Street 1:105 AURORA ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1903
Mailing Address - Country:US
Mailing Address - Phone:410-228-9515
Mailing Address - Fax:410-228-1453
Practice Address - Street 1:105 AURORA ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1903
Practice Address - Country:US
Practice Address - Phone:410-228-9515
Practice Address - Fax:410-228-1453
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207R00000X, 207RC0000X
MDD0064147207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD524000000Medicaid
MDCG6765OtherPALMETTO GBA/RAILROAD MEDICARE
MDE636OtherBLUECHOICE & FEDERAL BS
MDKB11MSOtherCAREFIRST GROUP NUMBER
MDE636OtherBLUECHOICE & FEDERAL BS
MDKB11MSOtherCAREFIRST GROUP NUMBER