Provider Demographics
NPI:1275570640
Name:SHARIF, ZULFIKAR AMIN (MD)
Entity Type:Individual
Prefix:
First Name:ZULFIKAR
Middle Name:AMIN
Last Name:SHARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 FRANTZ RD STE 250
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6102
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:285 E STATE ST STE 400
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4368
Practice Address - Country:US
Practice Address - Phone:614-566-7370
Practice Address - Fax:614-533-0187
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI430170453208G00000X
OH35092755208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2966518Medicaid
MI03912332OtherBLUE CROSS BLUE SHIELD
MI4876510Medicaid
OH4264911Medicare PIN
MIP33680001Medicare PIN