Individual
SUSAN CORRINE SHARIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1739 N 4TH ST, TERRE HAUTE, IN 47804-4002
(812) 242-3125
(812) 242-3446
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3125
(812) 242-3446
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01043795A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089650
ANTHEM
—
01
—
130013869
RAILROAD MCARE PALAMETTO
—
05
—
200036030
—
IN
05
—
200036030A
—
IN
05
—
200036030S
—
IN
01
—
P00834680
RAILROAD MEDICARE
IN
Enumeration date
08/31/2006
Last updated
08/18/2010
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