Provider Demographics
NPI:1740201813
Name:SHARIF, FOLASADE A (MD)
Entity type:Individual
Prefix:DR
First Name:FOLASADE
Middle Name:A
Last Name:SHARIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1237 KING SPRINGS CT SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-5516
Mailing Address - Country:US
Mailing Address - Phone:404-772-1685
Mailing Address - Fax:
Practice Address - Street 1:1237 KING SPRINGS CT SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5516
Practice Address - Country:US
Practice Address - Phone:404-772-1685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2024-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM0268208000000X
GA060093208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750369203OtherGROUP NPI NUMBER