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Contact Information

SHARIF R ABDELFATTAH, DPM
2120 N SECTION ST
SULLIVAN, IN47885-7518
 Phone: 812-268-3318
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SHARIF R ABDELFATTAH · (Male)

NPI Number 1639605637
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/11/2017
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 07001341A
Hospital affiliation(s)
  • SULLIVAN COUNTY COMMUNITY HOSPITAL - (Critical Access)
    2200 N SECTION ST
    SULLIVAN, IN 47882
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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