Provider Demographics
NPI:1861493538
Name:SHAREEF, BABAR (MD)
Entity Type:Individual
Prefix:DR
First Name:BABAR
Middle Name:
Last Name:SHAREEF
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 1:2215 NEBRASKA AVE
Mailing Address - Street 2:SUITE 2E
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950-4864
Mailing Address - Country:US
Mailing Address - Phone:772-461-6812
Mailing Address - Fax:772-461-6816
Practice Address - Street 1:2215 NEBRASKA AVE
Practice Address - Street 2:SUITE 2E
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950-4864
Practice Address - Country:US
Practice Address - Phone:772-461-6812
Practice Address - Fax:772-461-6816
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME71032207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL055501100Medicaid
FL110130220OtherMEDICARE RR
FL32117OtherBCBS
FL32117AMedicare ID - Type Unspecified
FL055501100Medicaid