Provider Demographics
NPI:1235226275
Name:SHARAF, AMBREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMBREEN
Middle Name:
Last Name:SHARAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17510 W GRAND PKWY S
Mailing Address - Street 2:SUITE 540
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2645
Mailing Address - Country:US
Mailing Address - Phone:281-342-4000
Mailing Address - Fax:281-232-8880
Practice Address - Street 1:17510 W GRAND PKWY S
Practice Address - Street 2:SUITE 540
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2645
Practice Address - Country:US
Practice Address - Phone:281-342-4000
Practice Address - Fax:281-232-8880
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2008-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM4941207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine