Provider Demographics
NPI:1821301086
Name:ALSHAREEF, AMEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMEEN
Middle Name:
Last Name:ALSHAREEF
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 1:1503 N IMPERIAL AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-6301
Mailing Address - Country:US
Mailing Address - Phone:304-691-1300
Mailing Address - Fax:304-691-1375
Practice Address - Street 1:1503 N IMPERIAL AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-6301
Practice Address - Country:US
Practice Address - Phone:760-339-2802
Practice Address - Fax:760-339-2829
Is Sole Proprietor?:No
Enumeration Date:2010-07-16
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123164208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics