Provider Demographics
NPI:1730380007
Name:ALSHARIF, KAIS I (MD)
Entity type:Individual
Prefix:
First Name:KAIS
Middle Name:I
Last Name:ALSHARIF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2888 LONG BEACH BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1530
Mailing Address - Country:US
Mailing Address - Phone:949-588-7246
Mailing Address - Fax:949-272-3746
Practice Address - Street 1:2888 LONG BEACH BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1530
Practice Address - Country:US
Practice Address - Phone:949-588-7246
Practice Address - Fax:949-272-3746
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2020-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA105368208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine