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Individual

SHERIF M. SHOUKRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2949 WEST FRONT STREET, RICHLANDS, VA 24641-2099
(276) 596-6000
Mailing address
PO BOX 634706, CINCINNATI, OH 45263-0001
(865) 292-3000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
101045469
VA
207P00000X
Emergency Medicine Physician
45866
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0075556000
WV
05
010257107
VA
05
1184664872
VA
05
1518477
TN
05
7100109980
KY
01
P00233625
RAILROAD MEDICARE
VA
Enumeration date
06/08/2006
Last updated
03/01/2011
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