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Individual

DR. HESHAM SADIG SHERIF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312
(404) 265-6410
(404) 265-6488
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
061756
GA
208M00000X
Hospitalist Physician
Primary
061756
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
075769931B
GA
01
P00770880
RR MEDICARE
GA
Enumeration date
04/15/2008
Last updated
10/29/2019
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