Provider Demographics
NPI:1518427798
Name:SHAREEF, ZAN (MD)
Entity Type:Individual
Prefix:
First Name:ZAN
Middle Name:
Last Name:SHAREEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 4TH ST
Mailing Address - Street 2:MAIL STOP 9410
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:87131
Mailing Address - Country:US
Mailing Address - Phone:806-743-1088
Mailing Address - Fax:806-743-3143
Practice Address - Street 1:3601 4TH ST
Practice Address - Street 2:MAIL STOP 9410
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430
Practice Address - Country:US
Practice Address - Phone:806-743-1088
Practice Address - Fax:806-743-3143
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXU2010207RN0300X, 207RC0200X
NMRS2023-0001390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program