Basic Information
| Provider Information | |||||||||
| NPI: | 1558367284 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AL SHARIF | ||||||||
| FirstName: | MUHAMMAD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 250 S CRESCENT DR | ||||||||
| Address2: | |||||||||
| City: | MASON CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 504012926 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414945400 | ||||||||
| FaxNumber: | 6414945403 | ||||||||
| Practice Location | |||||||||
| Address1: | 250 S CRESCENT DR | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MASON CITY | ||||||||
| State: | IA | ||||||||
| PostalCode: | 504012911 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6414945300 | ||||||||
| FaxNumber: | 6414945321 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/27/2005 | ||||||||
| LastUpdateDate: | 07/06/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 07/06/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 34.008051 | OH | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RC0000X | 4033 | IA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 1000039713 | 01 | DE | DIAMOND STATE MEDICAID | OTHER | 464185 | 01 | DE | COVENTRY HEALTH CARE | OTHER | 1558367284 | 01 | DE | DE. PHYSICIAN CARE-MCAID | OTHER | 2457096 | 05 | OH | MEDICAID | 000000207286 | 01 | DE | UNISON HEALTH CARE-MCAID | OTHER | 1000039713 | 05 | DE | MEDICAID | 522011HOS | 01 | DE | BCBS OF DELAWARE-HOSPITAL | OTHER | P00329171 | 01 | DE | RAILROAD MEDICARE | OTHER |