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Individual

SHERIF TAHA ELAMIR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18300 ROSCOE BLVD, NORTHRIDGE, CA 91325-4105
(818) 885-5342
(818) 727-1451
Mailing address
3400 DATA DR, ATTN: CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
174948-1
NY
208100000X
Physical Medicine & Rehabilitation Physician
25MA050288
NJ
208100000X
Physical Medicine & Rehabilitation Physician
84189
NM
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A44116
CA
208100000X
Physical Medicine & Rehabilitation Physician
H6810
TX
208100000X
Physical Medicine & Rehabilitation Physician
MD040093L
PA

Other

Enumeration date
07/18/2006
Last updated
02/15/2019
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