Provider Demographics
NPI:1851505077
Name:TIMANI-CHARKAWI, SHEREEN (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEREEN
Middle Name:
Last Name:TIMANI-CHARKAWI
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 1:6300 HOSPITAL PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30097
Mailing Address - Country:US
Mailing Address - Phone:770-771-6591
Mailing Address - Fax:770-771-6599
Practice Address - Street 1:6300 HOSPITAL PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097
Practice Address - Country:US
Practice Address - Phone:770-771-6591
Practice Address - Fax:770-771-6599
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.089582207N00000X
GA061526207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2755657Medicaid
OHTI4210591Medicare UPIN
OHTI4210592Medicare UPIN
OHTI4210594Medicare UPIN
KY2755657Medicaid