Provider Demographics
NPI:1871005793
Name:SHARIFF, SHAHEEN
Entity Type:Individual
Prefix:
First Name:SHAHEEN
Middle Name:
Last Name:SHARIFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8338 ALLEN RD STE 102B
Mailing Address - Street 2:
Mailing Address - City:ALLEN PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48101-1399
Mailing Address - Country:US
Mailing Address - Phone:313-438-0963
Mailing Address - Fax:313-438-0974
Practice Address - Street 1:8338 ALLEN RD STE 102B
Practice Address - Street 2:
Practice Address - City:ALLEN PARK
Practice Address - State:MI
Practice Address - Zip Code:48101-1399
Practice Address - Country:US
Practice Address - Phone:313-438-0963
Practice Address - Fax:313-438-0974
Is Sole Proprietor?:No
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist