Provider Demographics
NPI:1740805951
Name:SHARIFF, YASSMIN (DO)
Entity type:Individual
Prefix:
First Name:YASSMIN
Middle Name:
Last Name:SHARIFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5277 PEACHTREE PKWY
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2552
Mailing Address - Country:US
Mailing Address - Phone:678-312-8430
Mailing Address - Fax:678-377-3814
Practice Address - Street 1:5277 PEACHTREE PKWY
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2552
Practice Address - Country:US
Practice Address - Phone:678-312-8430
Practice Address - Fax:678-377-3814
Is Sole Proprietor?:No
Enumeration Date:2020-06-12
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA96696207Q00000X
GA12025390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine