Provider Demographics
NPI:1780945089
Name:NANKOE, SHARIF R (MD)
Entity type:Individual
Prefix:
First Name:SHARIF
Middle Name:R
Last Name:NANKOE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:883 BLAKELY RD
Mailing Address - Street 2:UVM MEDICAL CENTER - COLCHESTER FAMILY MEDICINE
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-4417
Mailing Address - Country:US
Mailing Address - Phone:802-847-2055
Mailing Address - Fax:802-847-1688
Practice Address - Street 1:883 BLAKELY RD
Practice Address - Street 2:UVM MEDICAL CENTER - COLCHESTER FAMILY MEDICINE
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-4417
Practice Address - Country:US
Practice Address - Phone:802-847-2055
Practice Address - Fax:802-847-1688
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2017-01-04
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Provider Licenses
StateLicense IDTaxonomies
VT042.0013596207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine