Individual
DR. SERENE SHEREEF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
190 CAMPUS BLVD STE 310, WINCHESTER, VA 22601-2872
(540) 536-0130
(540) 536-0140
Mailing address
220 CAMPUS BLVD STE 100, WINCHESTER, VA 22601-2896
(540) 536-5100
(540) 536-0235
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101272242
VA
208600000X
Surgery Physician
Primary
01074924A
IN
208600000X
Surgery Physician
P3585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000925834
ANTHEM PROVIDER NUMBER
IN
05
—
201275680
—
IN
Enumeration date
05/15/2007
Last updated
06/25/2021
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