Provider Demographics
NPI:1073300026
Name:MOHAMEDSHARIF, ABUBAKER ABDALGAFAR OSMAN (MBBS)
Entity type:Individual
Prefix:
First Name:ABUBAKER
Middle Name:ABDALGAFAR OSMAN
Last Name:MOHAMEDSHARIF
Suffix:
Gender:
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 W. CHARLESTON BLVD, SUITE 670
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102
Mailing Address - Country:US
Mailing Address - Phone:210-842-7385
Mailing Address - Fax:
Practice Address - Street 1:1701 W. CHARLESTON BLVD, SUITE 670
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102
Practice Address - Country:US
Practice Address - Phone:210-842-7385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program