Provider Demographics
NPI:1124642632
Name:SHEER SURGICAL PLLC
Entity type:Organization
Organization Name:SHEER SURGICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:EHSSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-393-3818
Mailing Address - Street 1:27209 LAHSER RD STE 128
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8402
Mailing Address - Country:US
Mailing Address - Phone:248-353-0200
Mailing Address - Fax:
Practice Address - Street 1:27209 LAHSER RD STE 128
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8402
Practice Address - Country:US
Practice Address - Phone:248-353-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5101018620OtherLICENSE