Provider Demographics
NPI:1689976441
Name:HAFIZ, SEHR (PA)
Entity Type:Individual
Prefix:MRS
First Name:SEHR
Middle Name:
Last Name:HAFIZ
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:755 HIGHLAND OAKS DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-7106
Mailing Address - Country:US
Mailing Address - Phone:336-760-0070
Mailing Address - Fax:336-760-0017
Practice Address - Street 1:755 HIGHLAND OAKS DR
Practice Address - Street 2:SUITE 202
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-7106
Practice Address - Country:US
Practice Address - Phone:336-760-0070
Practice Address - Fax:336-760-0017
Is Sole Proprietor?:No
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC001001622363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical