Provider Demographics
NPI:1225058670
Name:MIKHAIL, SHERIEF A (MD,MPH)
Entity Type:Individual
Prefix:DR
First Name:SHERIEF
Middle Name:A
Last Name:MIKHAIL
Suffix:
Gender:M
Credentials:MD,MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7801 E BUSH LAKE RD
Mailing Address - Street 2:STE 400
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3113
Mailing Address - Country:US
Mailing Address - Phone:952-283-3162
Mailing Address - Fax:866-991-7241
Practice Address - Street 1:7801 E BUSH LAKE RD STE 400
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439-3113
Practice Address - Country:US
Practice Address - Phone:952-283-3162
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN337012083X0100X, 2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN0107343OtherMEDICA PRIMARY
MN0107342OtherMEDICA/SELECT CARE
MN108978F703OtherUCARE
MN47D56MIOtherBCBS OF MN
MNHP16775OtherHEALTH PARTNERS
MN772050OtherAMERICAS PPO/ARAZ
MNA003OtherTRICARE
MN878202400Medicaid
MN509491008134OtherPREFERRED ONE