Provider Demographics
NPI:1356396303
Name:SHERIFF, USMAN M (MD)
Entity type:Individual
Prefix:
First Name:USMAN
Middle Name:M
Last Name:SHERIFF
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:PO BOX 718
Mailing Address - Street 2:
Mailing Address - City:SAN BENITO
Mailing Address - State:TX
Mailing Address - Zip Code:78586-0032
Mailing Address - Country:US
Mailing Address - Phone:956-428-1440
Mailing Address - Fax:956-412-3074
Practice Address - Street 1:597 SESAME SQUARE
Practice Address - Street 2:SUITE B
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550
Practice Address - Country:US
Practice Address - Phone:956-428-1440
Practice Address - Fax:956-412-3074
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2015-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL5133207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154080901Medicaid
TX154080901Medicaid
TX8724B8Medicare PIN