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Individual

SHERIF HOSNY TAHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
1150 E ARLINGTON BLVD, GREENVILLE, NC 27858-5866
(252) 756-1333
(252) 355-2068
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
2002 00465
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396735700
NC
01
2012881
MEDICARE PTAN
NC
Enumeration date
10/26/2005
Last updated
10/30/2023
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