Individual
SHERIF ELMASRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 N BROADWAY, PERU, IN 46970
(765) 475-0024
(765) 475-0736
Mailing address
655 N BROADWAY, PERU, IN 46970
(765) 475-0024
(765) 475-0736
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01045850A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200144460B
—
IN
Enumeration date
10/06/2006
Last updated
01/03/2012
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