Provider Demographics
NPI:1730359779
Name:SHERAFGAN, KASHAF (MD)
Entity type:Individual
Prefix:
First Name:KASHAF
Middle Name:
Last Name:SHERAFGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1712 W ANKLAM RD STE 103
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2660
Mailing Address - Country:US
Mailing Address - Phone:520-622-7384
Mailing Address - Fax:522-622-4899
Practice Address - Street 1:12845 POINTE DEL MAR WAY STE 100
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3862
Practice Address - Country:US
Practice Address - Phone:520-622-7384
Practice Address - Fax:522-622-4899
Is Sole Proprietor?:No
Enumeration Date:2008-03-05
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY273654208600000X
AZ51262208600000X
CAC170267208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery