Individual
SHARIFF ATTAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3803 SPRING ST, SUITE 400, MOUNT PLEASANT, WI 53405-1660
(262) 687-8208
(262) 687-8262
Mailing address
3803 SPRING ST, SUITE 400, MOUNT PLEASANT, WI 53405-1660
(262) 687-8208
(262) 687-8262
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
62727
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123224
—
IL
01
—
1033149844
CDPG NPI NUMBER
IL
01
—
3631498336019001
HFS GROUP PAYEE ID
IL
Enumeration date
12/12/2006
Last updated
09/23/2015
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