Diaa Al Dein Ayoub Sharif, M.D
Individual provider Active NPI Internal Medicine Physician · Caro, MI
NPI 1487919296 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1487919296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 4301100775 (MI)
- Practice address
- 1525 W Caro Rd
Caro, MI 48723-9686 - Phone
- (989) 892-7722
- Fax
- (989) 892-7455
- NPI assigned
- Jul 8, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3113314 | MI | MD | Student in an Organized Health Care Education/Training Program |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3113314 | MI | |
| Internal Medicine Physician | 207R00000X | 4301100775 | MI | Yes |
Addresses
Primary practice location
1525 W Caro Rd
Caro, MI 48723-9686
Mailing address
1525 W Caro Rd
Caro, MI 48723-9686
Phone (989) 672-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659326395 | Medicaid | MI | |
| 1689022469 | Medicaid | MI |
Other providers in Caro, MI
- Tamra L Schultz
- Phyllis Scott
- Larry Kenneth Seale
- Amy Sember
- Serenity Sunset Therapy PLLC
- Shattuck Family Physicians PLLC
- Emily Shaver
- Joy Rae Shaw
- Shelson Natural Health LLC.
- Matthew James Shelson
All providers in Caro, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.