Provider Demographics
NPI:1881286664
Name:MOTAHARI, SHERI SEYED (MD)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:SEYED
Last Name:MOTAHARI
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:1994 PAULINE BLVD APT 2B
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-5043
Mailing Address - Country:US
Mailing Address - Phone:734-905-2578
Mailing Address - Fax:
Practice Address - Street 1:26901 76TH AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1433
Practice Address - Country:US
Practice Address - Phone:718-470-5277
Practice Address - Fax:718-470-3935
Is Sole Proprietor?:No
Enumeration Date:2021-02-03
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNA2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology