Provider Demographics
NPI:1255929576
Name:SALEH, SHAREEFA (PA)
Entity type:Individual
Prefix:MS
First Name:SHAREEFA
Middle Name:
Last Name:SALEH
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:1985 PLEASANT VALLEY AVE APT 21
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-4203
Mailing Address - Country:US
Mailing Address - Phone:925-640-5072
Mailing Address - Fax:
Practice Address - Street 1:2255 YGNACIO VALLEY RD STE B1
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3335
Practice Address - Country:US
Practice Address - Phone:925-945-7005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-03
Last Update Date:2023-12-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant