Provider Demographics
NPI:1760536569
Name:ZOEMED PLLC
Entity Type:Organization
Organization Name:ZOEMED PLLC
Other - Org Name:SHERIF G NAGUIB PLLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER-SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERIF
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:NAGUIB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-824-0589
Mailing Address - Street 1:PO BOX 845
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27588-0845
Mailing Address - Country:US
Mailing Address - Phone:919-824-0589
Mailing Address - Fax:919-453-0198
Practice Address - Street 1:6217 TIFFIELD WAY
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-3601
Practice Address - Country:US
Practice Address - Phone:919-824-0589
Practice Address - Fax:919-453-0198
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZOEMED PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-22
Last Update Date:2008-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35995207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty