Shifa Medicine & Infectious Diseases

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

2010-00192 Issued in NC

Legal business name

SHIFA MEDICINE & INFECTIOUS DISEASES

Practice address

1705 Tarboro St SW
Wilson, NC 27893-3428

Phone

(508) 981-6279

NPI assigned

Aug 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Fazalullah Sharief, M.D

Title

Sole Owner

Phone

(508) 981-6279

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1841579190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 SOUTHERN CROSS AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 TARBORO ST SW",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933428",
            "telephone_number": "508-981-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFA MEDICINE & INFECTIOUS DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-04",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "SHARIEF",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "FAZALULLAH",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "508-981-6279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NC",
            "license": "2010-00192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916722",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Andrew Shealy, MD
• Tammy Winn Shealy, PHARMD
• Dorothy L Sherrod-Bynum, C.R.C., L.P.C.
• Heather Johnson Sherrod, PHARMD
• Tracey P Sherrod, ANP-C
• Megan Shores
• Lindsay Shumate, FNP-BC
• Medhat Fahmey Sidaros, MD
• Sigma Support Services, LLC
• Sigma Support Services, LLC

• Infectious Disease Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Infectious Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.