Basic Information
| Provider Information | |||||||||
| NPI: | 1629225651 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SHARAIHA | ||||||||
| FirstName: | TALAL | ||||||||
| MiddleName: | ZIAD | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 305 W 72ND ST | ||||||||
| Address2: | APT 5C | ||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100232657 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155313469 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1000 10TH AVE | ||||||||
| Address2: | |||||||||
| City: | NEW YORK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 100191147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2125238663 | ||||||||
| FaxNumber: | 2125238605 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/21/2008 | ||||||||
| LastUpdateDate: | 09/20/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/20/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 051624 | CT | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | MT193122 | PA | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 278936 | NY | Y | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.