Provider Demographics
NPI:1104865724
Name:SCHARF, KEITH E (MD)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:E
Last Name:SCHARF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2551 MCLEOD DR S
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2827
Mailing Address - Country:US
Mailing Address - Phone:989-799-8620
Mailing Address - Fax:989-799-2664
Practice Address - Street 1:2551 MCLEOD DR S
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2827
Practice Address - Country:US
Practice Address - Phone:989-799-8620
Practice Address - Fax:989-799-2664
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301065146207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3158940Medicaid
MIM30360001Medicare ID - Type Unspecified
MI3158940Medicaid