Provider Demographics
NPI:1952542003
Name:TADROS, SHERINE W (MD)
Entity Type:Individual
Prefix:DR
First Name:SHERINE
Middle Name:W
Last Name:TADROS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 E WALLISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77562-3831
Mailing Address - Country:US
Mailing Address - Phone:281-426-8586
Mailing Address - Fax:281-426-7983
Practice Address - Street 1:607 E WALLISVILLE RD
Practice Address - Street 2:
Practice Address - City:HIGHLANDS
Practice Address - State:TX
Practice Address - Zip Code:77562-3831
Practice Address - Country:US
Practice Address - Phone:281-426-8586
Practice Address - Fax:281-426-7983
Is Sole Proprietor?:No
Enumeration Date:2009-03-19
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6416207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDH24859Medicare UPIN