Sharief, Mohammad Fazalullah

Sharief, Mohammad Fazalullah is an individual health care provider with primary practice located at 701 E County Line Rd Suite 101, Greenwood IN 46143-1070. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Sharief, Mohammad Fazalullah can be contacted via phone (317) 885-2860.

Contact Information

Primary practice address
701 E County Line Rd Suite 101 Greenwood IN 46143-1070
Phone: (317) 885-2860
Fax: (317) 885-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01070336A Indiana
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 01070336A Indiana

Profile Details

NPI number 1710150628
LBN Legal business name Sharief, Mohammad Fazalullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2008
Last updated Oct 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710150628 NPPES
Indiana MEDICAID 201049000

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