Sharifi, Anissa

Sharifi, Anissa is an individual health care provider with primary practice located at 5700 Hillandale Dr Suite 150, Lithonia GA 30058-4103. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Sharifi, Anissa can be contacted via phone (770) 670-6100.

Contact Information

Primary practice address
5700 Hillandale Dr Suite 150 Lithonia GA 30058-4103
Fax: (678) 990-1446
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 032654 Georgia

Profile Details

NPI number 1730144569
LBN Legal business name Sharifi, Anissa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730144569 NPPES
Georgia MEDICAID 000437214D

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