1952757411 NPI number — SOPHIA BAISHEVA SHER M.D.

Table of content: SOPHIA BAISHEVA SHER M.D. (NPI 1952757411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1952757411 NPI number — SOPHIA BAISHEVA SHER M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SHER
Provider First Name:
SOPHIA
Provider Middle Name:
BAISHEVA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BAISHEVA
Provider Other First Name:
SOFYA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1952757411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 INDEPENDENCE PLZ STE 900
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209-2643
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-271-8000
Provider Business Mailing Address Fax Number:
205-271-8050

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 OAKFIELD DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BRANDON
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33511-5779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-571-5193
Provider Business Practice Location Address Fax Number:
813-571-5169
Provider Enumeration Date:
05/13/2016

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207ZP0102X , with the licence number:  38955 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X , with the licence number: ME160860 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)