Provider Demographics
NPI:1518900885
Name:SHERIFF, MARY THERESA (PODIATRIST)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:THERESA
Last Name:SHERIFF
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Gender:F
Credentials:PODIATRIST
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Mailing Address - Street 1:4301 ELYSIAN FIELDS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70122-3875
Mailing Address - Country:US
Mailing Address - Phone:504-283-6754
Mailing Address - Fax:504-283-9949
Practice Address - Street 1:4301 ELYSIAN FIELDS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70122-3875
Practice Address - Country:US
Practice Address - Phone:504-283-6754
Practice Address - Fax:504-283-9949
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2009-07-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAPD318R213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine