Provider Demographics
NPI:1801450630
Name:ABUSEREWA, SHERIF TAYCEER HAFEZ (MD)
Entity type:Individual
Prefix:
First Name:SHERIF
Middle Name:TAYCEER HAFEZ
Last Name:ABUSEREWA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3601 4TH ST DEPT OF MEDICINE
Mailing Address - Street 2:MS 9410
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79430-0002
Mailing Address - Country:US
Mailing Address - Phone:312-774-2901
Mailing Address - Fax:806-743-3143
Practice Address - Street 1:3601 4TH ST DEPT OF MEDICINE
Practice Address - Street 2:MS 9410
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79430
Practice Address - Country:US
Practice Address - Phone:806-743-6916
Practice Address - Fax:806-743-3143
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2022-09-05
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Provider Licenses
StateLicense IDTaxonomies
SCLL82892207R00000X
TXBP10080159207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine