Individual
DR. MOHAMMAD FAZALULLAH SHARIEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E COUNTY LINE RD, SUITE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Mailing address
701 E COUNTY LINE RD STE 101, GREENWOOD, IN 46143-1070
(317) 885-2860
(317) 885-2869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01070336A
IN
207RI0200X
Infectious Disease Physician
Primary
01070336A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201049000
—
IN
Enumeration date
04/11/2008
Last updated
10/24/2022
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