Provider Demographics
NPI:1588640460
Name:TEWFIK, SHERIF H (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERIF
Middle Name:H
Last Name:TEWFIK
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 1:1111 DUFF AVENUE
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:IA
Mailing Address - Zip Code:50010-3014
Mailing Address - Country:US
Mailing Address - Phone:515-239-2182
Mailing Address - Fax:515-239-3665
Practice Address - Street 1:1111 DUFF AVENUE
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:IA
Practice Address - Zip Code:50010-3014
Practice Address - Country:US
Practice Address - Phone:515-239-2182
Practice Address - Fax:515-239-3665
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0069589207L00000X
IA34467207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA34467OtherTRICARE PROVIDER #
IA0267294Medicaid
IA237155OtherMIDLANDS PROVIDER #
IAIA0185OtherJOHN DEERE PROVIDER #
IA55714OtherBLUE SHIELD PROVIDER #
IA050087549OtherRAILROAD MEDICARE #
IA050087549OtherRAILROAD MEDICARE #
IAIA0185OtherJOHN DEERE PROVIDER #