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TAREQ M ABU-SHARIFEH MD

>> Emergency Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1447200308

Individual Registrant:
 TAREQ M ABU-SHARIFEH MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
301 UNIVERSITY BLVD  GALVESTON, TX 77555-1167 US
Tel: 409-747-9163  Fax: 409-747-9327

Contact information for business:
301 UNIVERSITY BLVD  GALVESTON, TX 77555-1167 US
Tel: 409-747-9163  Fax: 409-747-9327

Registration Information:
NPI: 1447200308
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207P00000XAllopathic & Osteopathic Physicians
Emergency Medicine
TXL8253
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
TXL8253
N208M00000XAllopathic & Osteopathic Physicians
Hospitalist
TXL8253

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TRICARE1447200308TX01
TIN760010407TX01
RR MEDICAREP00467136TX01
BCBS OF TX1447200308TX01
166276903TX05
166276901TX05
BLUE CROSS BLUE SHIELD OF TEXAS8X6789TX01




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