Provider Demographics
NPI:1093985301
Name:ASAAD, NASREEN ALSHARIFI (MD)
Entity Type:Individual
Prefix:
First Name:NASREEN
Middle Name:ALSHARIFI
Last Name:ASAAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NASREEN
Other - Middle Name:AG
Other - Last Name:ALSHARIFI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:606 ROWLOCK LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2529
Mailing Address - Country:US
Mailing Address - Phone:281-558-2436
Mailing Address - Fax:
Practice Address - Street 1:1615 N MAIN ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77009-8525
Practice Address - Country:US
Practice Address - Phone:713-222-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXG4077207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX127070402Medicaid
TX127070402Medicaid
TX87Y672Medicare PIN