Basic Information
Provider Information
NPI: 1396975868
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EL SHERIF
FirstName: AMIRA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1500 GALEN ST SE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200204913
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber: 2025488600
Practice Location
Address1: 1500 GALEN ST SE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200204913
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber: 2025488600
Other Information
ProviderEnumerationDate: 07/20/2009
LastUpdateDate: 10/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/22/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XMD046546DCY Allopathic & Osteopathic PhysiciansPediatrics 

ID Information
IDTypeStateIssuerDescription
135574201NCWELLPATHOTHER
926886201NCAETNAOTHER
139697586801NCHEALTHNET FEDERAL SERVICESOTHER
401537901NCCOVENTRY NATIONAL - COVENTRY PPOOTHER
FH110154001NCFIRST CAROLINA CAREOTHER
139697586801NCHUMANAOTHER
139697586801NCDOCTORS DIRECTOTHER
696402501NCCIGNA GREATWESTOTHER
135574201NCCOVENTRY OF THE CAROLINASOTHER
139697586805NC MEDICAID
350000201NCUNITED HEALTHCAREOTHER
139697586801NCHEALTHSMARTOTHER
1304752401NCPHCS-MULTIPLANOTHER
24254801NCMEDCOST, LLCOTHER
1742P01NCBCBS OF NCOTHER


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