Individual
KHALID K AL-SHARIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1531 WATSON BLVD, WARNER ROBINS, GA 31093-3449
(478) 599-0110
(478) 599-0001
Mailing address
1531 WATSON BLVD, WARNER ROBINS, GA 31093-3449
(478) 599-0110
(478) 599-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042161
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000724182L
—
GA
05
—
00724182F
—
GA
01
—
110204191
MEDICARE RAILROAD #
GA
Enumeration date
05/26/2006
Last updated
06/30/2009
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