Basic Information
| Provider Information | |||||||||
| NPI: | 1154610020 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | SHARIFF | ||||||||
| FirstName: | RAZA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1327 | ||||||||
| Address2: | |||||||||
| City: | LACONIA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032471327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035243211 | ||||||||
| FaxNumber: | 6035277038 | ||||||||
| Practice Location | |||||||||
| Address1: | 85 SPRING STREET | ||||||||
| Address2: | WEIGHT INSTITUTE OF NEW HAMPSHIRE | ||||||||
| City: | LACONIA | ||||||||
| State: | NH | ||||||||
| PostalCode: | 032463113 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6035272947 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2011 | ||||||||
| LastUpdateDate: | 08/10/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | MD442217 | PA | N | Allopathic & Osteopathic Physicians | Surgery | 208600000X | 15733 | NH | Y | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.