Provider Demographics
NPI:1770568370
Name:SHERKER, AVERELL HIRSCH (MD, FRCP(C))
Entity type:Individual
Prefix:DR
First Name:AVERELL
Middle Name:HIRSCH
Last Name:SHERKER
Suffix:
Gender:M
Credentials:MD, FRCP(C)
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:110 IRVING ST NW
Mailing Address - Street 2:SUITE 3A3A7B
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2976
Mailing Address - Country:US
Mailing Address - Phone:202-877-7108
Mailing Address - Fax:202-877-8163
Practice Address - Street 1:110 IRVING ST NW
Practice Address - Street 2:SUITE 3A3A7B
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2976
Practice Address - Country:US
Practice Address - Phone:202-877-7108
Practice Address - Fax:202-877-8163
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCCS0212531207RI0008X
CAG65775207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCH44288Medicare UPIN