Provider Demographics
NPI:1780302034
Name:SHARIF, MARJAN
Entity type:Individual
Prefix:MRS
First Name:MARJAN
Middle Name:
Last Name:SHARIF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARJAN
Other - Middle Name:SHARIF
Other - Last Name:MUELLER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1201 HOWARD ST APT 306
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68102-2925
Mailing Address - Country:US
Mailing Address - Phone:516-526-4736
Mailing Address - Fax:
Practice Address - Street 1:1201 HOWARD ST APT 306
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68102-2925
Practice Address - Country:US
Practice Address - Phone:516-526-4736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist