Provider Demographics
NPI:1558367284
Name:AL SHARIF, MUHAMMAD (DO)
Entity Type:Individual
Prefix:DR
First Name:MUHAMMAD
Middle Name:
Last Name:AL SHARIF
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-2926
Mailing Address - Country:US
Mailing Address - Phone:641-494-5400
Mailing Address - Fax:641-494-5403
Practice Address - Street 1:250 S CRESCENT DR
Practice Address - Street 2:SUITE 200
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-2911
Practice Address - Country:US
Practice Address - Phone:641-494-5300
Practice Address - Fax:641-494-5321
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.008051207R00000X
IA4033207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000039713OtherDIAMOND STATE MEDICAID
DE464185OtherCOVENTRY HEALTH CARE
DE1558367284OtherDE. PHYSICIAN CARE-MCAID
OH2457096Medicaid
DE000000207286OtherUNISON HEALTH CARE-MCAID
DE1000039713Medicaid
DE522011HOSOtherBCBS OF DELAWARE-HOSPITAL
DEP00329171OtherRAILROAD MEDICARE
I03036Medicare UPIN
DE019477B86Medicare PIN