Provider Demographics
NPI:1457679813
Name:ALSHARIF, MUNA (MD)
Entity Type:Individual
Prefix:DR
First Name:MUNA
Middle Name:
Last Name:ALSHARIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MUNA
Other - Middle Name:
Other - Last Name:ALSHARIF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:138-162 MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:APT1208A
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07104-5369
Mailing Address - Country:US
Mailing Address - Phone:201-456-6012
Mailing Address - Fax:
Practice Address - Street 1:520 E 70TH ST
Practice Address - Street 2:NEURORADIOLOGY DIVISION, BOX 141
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-9800
Practice Address - Country:US
Practice Address - Phone:212-746-2573
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-10
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ2003004145322085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology