Provider Demographics
NPI:1174853576
Name:SHARIF, AYNI AHMED (PA-C)
Entity Type:Individual
Prefix:
First Name:AYNI
Middle Name:AHMED
Last Name:SHARIF
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5922 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23230-2231
Mailing Address - Country:US
Mailing Address - Phone:804-282-6953
Mailing Address - Fax:804-282-8215
Practice Address - Street 1:5922 W BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-2231
Practice Address - Country:US
Practice Address - Phone:804-282-6953
Practice Address - Fax:804-282-8215
Is Sole Proprietor?:No
Enumeration Date:2010-01-06
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA011000074363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant