Provider Demographics
NPI:1366935173
Name:SHARIF CURRIMBHOY MD PA
Entity type:Organization
Organization Name:SHARIF CURRIMBHOY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHARIF
Authorized Official - Middle Name:
Authorized Official - Last Name:CURRIMBHOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:940-382-1718
Mailing Address - Street 1:209 N BONNIE BRAE ST STE 205
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-3748
Mailing Address - Country:US
Mailing Address - Phone:940-382-1718
Mailing Address - Fax:
Practice Address - Street 1:209 N BONNIE BRAE ST STE 205
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-3748
Practice Address - Country:US
Practice Address - Phone:940-382-1718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-07
Last Update Date:2018-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR4683207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty