Basic Information
| Provider Information | |||||||||
| NPI: | 1215939376 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NASEF | ||||||||
| FirstName: | SHERIF | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2851 S AVENUE B STE 2001 | ||||||||
| Address2: | |||||||||
| City: | YUMA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853647763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283362434 | ||||||||
| FaxNumber: | 9283362435 | ||||||||
| Practice Location | |||||||||
| Address1: | 2851 S AVENUE B STE 2001 | ||||||||
| Address2: | |||||||||
| City: | YUMA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 853647763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9283362434 | ||||||||
| FaxNumber: | 9283362435 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2005 | ||||||||
| LastUpdateDate: | 05/09/2019 | ||||||||
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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 | 207RR0500X | 27906 | AZ | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 660003540 | 01 | AZ | RAILROAD MEDICARE | OTHER |