Provider Demographics
NPI:1982468815
Name:SHARIFY, ZABIE (LAC)
Entity Type:Individual
Prefix:
First Name:ZABIE
Middle Name:
Last Name:SHARIFY
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9332 CROSSED SABRES CT
Mailing Address - Street 2:
Mailing Address - City:MANASSAS PARK
Mailing Address - State:VA
Mailing Address - Zip Code:20111-8223
Mailing Address - Country:US
Mailing Address - Phone:703-477-8402
Mailing Address - Fax:
Practice Address - Street 1:907A COMMERCE RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2943
Practice Address - Country:US
Practice Address - Phone:667-204-2979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU02966171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist