Provider Demographics
NPI:1528019023
Name:RAUF, SHARIQ J (MD)
Entity Type:Individual
Prefix:
First Name:SHARIQ
Middle Name:J
Last Name:RAUF
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:PO BOX 590104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77259
Mailing Address - Country:US
Mailing Address - Phone:281-428-4024
Mailing Address - Fax:281-428-4026
Practice Address - Street 1:1602 W BAKER RD
Practice Address - Street 2:STE A
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-2282
Practice Address - Country:US
Practice Address - Phone:281-428-4024
Practice Address - Fax:281-428-4026
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK1906207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX103467004Medicaid
TX8B1313Medicare PIN