Provider Demographics
NPI:1598716805
Name:SHARAF, MAI F (MD)
Entity Type:Individual
Prefix:
First Name:MAI
Middle Name:F
Last Name:SHARAF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:8740 MEDICAL CITY WAY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-2414
Mailing Address - Country:US
Mailing Address - Phone:817-358-5500
Mailing Address - Fax:817-358-5511
Practice Address - Street 1:9509 NORTH BEACH STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76244-6399
Practice Address - Country:US
Practice Address - Phone:817-617-8650
Practice Address - Fax:877-906-1852
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXM2094207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH13785Medicare UPIN
TX8D8368Medicare ID - Type Unspecified
TX8K1945Medicare PIN