Provider Demographics
NPI:1508939588
Name:AZIZ, SHERIF A (MD)
Entity Type:Individual
Prefix:MR
First Name:SHERIF
Middle Name:A
Last Name:AZIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:36300 DEQUINDRE RD
Mailing Address - Street 2:APT 108
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-4243
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:406 E ELM ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:MI
Practice Address - Zip Code:48811-9693
Practice Address - Country:US
Practice Address - Phone:989-584-3971
Practice Address - Fax:989-584-6734
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010867372084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4301086737OtherMI PHYSICIAN LICENSE
05419932OtherECFMG CERTIFICATE