Provider Demographics
NPI:1629509237
Name:SHARFI, DUAA (MD)
Entity type:Individual
Prefix:DR
First Name:DUAA
Middle Name:
Last Name:SHARFI
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 1:2640 183RD ST
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2914
Mailing Address - Country:US
Mailing Address - Phone:708-798-6633
Mailing Address - Fax:708-798-6790
Practice Address - Street 1:11600 S KEDZIE AVE STE C
Practice Address - Street 2:
Practice Address - City:MERRIONETTE PARK
Practice Address - State:IL
Practice Address - Zip Code:60803-6307
Practice Address - Country:US
Practice Address - Phone:708-388-4400
Practice Address - Fax:708-389-8484
Is Sole Proprietor?:No
Enumeration Date:2017-03-24
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY295396207W00000X
IL036171371207W00000X, 207WX0200X
GA88098207W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program