Provider Demographics
NPI:1518654102
Name:SHARIF, SARA
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:
Last Name:SHARIF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 HARRINGTON AVE NE APT S502
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-3490
Mailing Address - Country:US
Mailing Address - Phone:702-994-6004
Mailing Address - Fax:
Practice Address - Street 1:950 HARRINGTON AVE NE APT S502
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3490
Practice Address - Country:US
Practice Address - Phone:702-994-6004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-24
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program