Provider Demographics
NPI:1467436170
Name:AFRIDI, SHARIQ A (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARIQ
Middle Name:A
Last Name:AFRIDI
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 1:1374 WHITEHORSE HAMILTON SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON SQ
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-3701
Mailing Address - Country:US
Mailing Address - Phone:609-586-1319
Mailing Address - Fax:609-586-1468
Practice Address - Street 1:1374 WHITEHORSE HAMILTON SQUARE RD
Practice Address - Street 2:
Practice Address - City:HAMILTON SQ
Practice Address - State:NJ
Practice Address - Zip Code:08690-3701
Practice Address - Country:US
Practice Address - Phone:609-586-1319
Practice Address - Fax:609-586-1468
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06201100174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1323334OtherFIRSTHEALTH
NJ502170OtherAETNA HMO
NH84663OtherAMERICAID
NJ010002881-00OtherAMERICHOICE
NJ147288OtherDEVON
NJ222233588OtherHORIZON BC/BS
NJ4319169OtherAETNA PPO
NJ0179074-004OtherCIGNA
NJ1K71161OtherHEALTHNET
NH58465OtherLOCAL
NJ6512003Medicaid
NH0000653740001OtherONE HEALTH PLAN
NJ1014252OtherHORIZON NJ HEALTH
NJ1755890OtherUHC
NJ3U324OtherEMPIRE HEALTH CARE
NJ636104OtherAMERIHEALTH PPO
NJP768331OtherOXFORD
NH0778149000OtherAMERIHEALTH
NJ1755890OtherUHC
NJ1K71161OtherHEALTHNET