Provider Demographics
NPI:1912239401
Name:SHARF, MELVIN B (MD)
Entity Type:Individual
Prefix:DR
First Name:MELVIN
Middle Name:B
Last Name:SHARF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:974 S BATES ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-1976
Mailing Address - Country:US
Mailing Address - Phone:248-593-9795
Mailing Address - Fax:248-593-9796
Practice Address - Street 1:974 S BATES ST
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-1976
Practice Address - Country:US
Practice Address - Phone:248-593-9795
Practice Address - Fax:248-593-9796
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-08
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI31922207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology