Provider Demographics
NPI:1346561677
Name:SHARIF, RAMLA (MD)
Entity Type:Individual
Prefix:
First Name:RAMLA
Middle Name:
Last Name:SHARIF
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 1:282 RUCKER RD STE 140
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5826
Mailing Address - Country:US
Mailing Address - Phone:770-360-9484
Mailing Address - Fax:770-360-9483
Practice Address - Street 1:282 RUCKER RD STE 140
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-5826
Practice Address - Country:US
Practice Address - Phone:770-360-9484
Practice Address - Fax:770-360-9483
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004365207Q00000X
GA068936207RG0300X, 207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP264Medicare UPIN