Provider Demographics
NPI:1396037008
Name:SHARIF, ROOZBEH (MD, MED, MSC)
Entity Type:Individual
Prefix:DR
First Name:ROOZBEH
Middle Name:
Last Name:SHARIF
Suffix:
Gender:M
Credentials:MD, MED, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 HIGHWAY 365 STE 150
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6293
Mailing Address - Country:US
Mailing Address - Phone:409-401-5864
Mailing Address - Fax:409-344-8600
Practice Address - Street 1:2300 HIGHWAY 365 STE 150
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6293
Practice Address - Country:US
Practice Address - Phone:409-401-5864
Practice Address - Fax:409-344-8600
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR3212207R00000X, 207RC0200X, 207RS0012X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX374871708Medicaid
TX8PH692OtherBCBSTX