Provider Demographics
NPI:1346496304
Name:HEFZY, MUHAMMAD SHERIFF (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:SHERIFF
Last Name:HEFZY
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 1:5501 BONNIEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:SYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43560-3705
Mailing Address - Country:US
Mailing Address - Phone:419-215-7745
Mailing Address - Fax:
Practice Address - Street 1:2222 CHERRY ST STE M800
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2676
Practice Address - Country:US
Practice Address - Phone:419-251-3292
Practice Address - Fax:419-251-7821
Is Sole Proprietor?:No
Enumeration Date:2008-08-11
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH53486207L00000X
OH35.095056208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology