Provider Demographics
NPI:1356677447
Name:SHARAF, MAHMOUD A (MD)
Entity type:Individual
Prefix:MR
First Name:MAHMOUD
Middle Name:A
Last Name:SHARAF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:MAHMOUD
Other - Middle Name:
Other - Last Name:SHARAF
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:UNITYPOINT HEALTH - ST LUKE'S
Mailing Address - Street 2:2720 STONE PARK BLVD
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-3734
Mailing Address - Country:US
Mailing Address - Phone:712-279-3500
Mailing Address - Fax:712-279-7935
Practice Address - Street 1:UNITYPOINT HEALTH - ST LUKE'S
Practice Address - Street 2:2720 STONE PARK BLVD
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-3734
Practice Address - Country:US
Practice Address - Phone:712-279-3500
Practice Address - Fax:712-279-7935
Is Sole Proprietor?:No
Enumeration Date:2009-10-23
Last Update Date:2018-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-44058207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology