# ADVANCED HAND & RECONSTRUCTIVE PLASTIC SURGERY INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215407614
- **Authorized official:** ABDUL-WAHAB H SHARARAH MD (PRESIDENT)
- **Authorized official phone:** (661) 326-2800

## Contact information

- **Practice address:** 18546 ROSCOE BLVD STE 220, NORTHRIDGE, CA 91324-5455
- **Practice address phone:** (661) 326-2800
- **Mailing address:** 9227 RESEDA BLVD \# 505, NORTHRIDGE, CA 91324-3137
- **Mailing address phone:** (661) 326-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | NULL | Yes |
| 2082S0105X | Surgery of the Hand (Plastic Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2018
- **Last updated:** 11/28/2018
