Provider Demographics
NPI:1699931584
Name:SHARIF, MUSHFEKA (MD)
Entity type:Individual
Prefix:DR
First Name:MUSHFEKA
Middle Name:
Last Name:SHARIF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1531 PLUMAS CT
Mailing Address - Street 2:SUITE C
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-2966
Mailing Address - Country:US
Mailing Address - Phone:530-821-2020
Mailing Address - Fax:530-821-2038
Practice Address - Street 1:1531 PLUMAS CT
Practice Address - Street 2:SUITE C
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-2966
Practice Address - Country:US
Practice Address - Phone:530-821-2020
Practice Address - Fax:530-821-2038
Is Sole Proprietor?:No
Enumeration Date:2008-07-31
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008011775207R00000X
CAA122687207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1699931584Medicaid