Individual provider Active NPI

Sharif Eusufzai, M.D., PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • San Antonio, TX
National Provider Identifier
1083719900
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
221248 Issued in NY
Practice address
1055 Ada St
South Bexar VA Out Patient Clinic
San Antonio, TX 78223-1703
Phone
(210) 358-5682
Fax
(210) 358-5594
NPI assigned
Sep 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 221248 NY Primary

Addresses

Primary practice location

1055 Ada St
South Bexar VA Out Patient Clinic
San Antonio, TX 78223-1703

Mailing address

1055 Ada St
South Bexar VA Out Patient Clinic
San Antonio, TX 78223-1703
Phone (210) 358-5682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
221248NYMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083719900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 ADA ST",
            "address_2": "SOUTH BEXAR VA OUT PATIENT CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231703",
            "telephone_number": "210-358-5682",
            "fax_number": "210-358-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 ADA ST",
            "address_2": "SOUTH BEXAR VA OUT PATIENT CLINIC",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231703",
            "telephone_number": "210-358-5682",
            "fax_number": "210-358-5594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUSUFZAI",
        "first_name": "SHARIF",
        "name_prefix": "Dr.",
        "credential": "M.D., PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "221248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.