Provider Demographics
NPI:1649408394
Name:SHAREF, SADIK MOHAMED (MD)
Entity type:Individual
Prefix:
First Name:SADIK
Middle Name:MOHAMED
Last Name:SHAREF
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 1:1600 WATERS RIDGE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75057-6039
Mailing Address - Country:US
Mailing Address - Phone:972-219-0558
Mailing Address - Fax:214-466-7237
Practice Address - Street 1:3315 COLORADO BLVD STE 102
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-6885
Practice Address - Country:US
Practice Address - Phone:940-320-1708
Practice Address - Fax:940-565-5457
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0061899207R00000X, 208M00000X
NY284425208M00000X
TXV5130207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist