Provider Demographics
NPI:1174297527
Name:SHARAFAT, SYED AMIR
Entity Type:Individual
Prefix:
First Name:SYED
Middle Name:AMIR
Last Name:SHARAFAT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8187 HEMLOCK AVE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-8085
Mailing Address - Country:US
Mailing Address - Phone:818-527-0763
Mailing Address - Fax:
Practice Address - Street 1:8187 HEMLOCK AVE
Practice Address - Street 2:
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-8085
Practice Address - Country:US
Practice Address - Phone:818-527-0763
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)