Provider Demographics
NPI:1689402661
Name:OSEI-TUTU, SHERIFF
Entity type:Individual
Prefix:
First Name:SHERIFF
Middle Name:
Last Name:OSEI-TUTU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 MELINDA LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-4894
Mailing Address - Country:US
Mailing Address - Phone:215-888-7730
Mailing Address - Fax:
Practice Address - Street 1:1889 MELINDA LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-4894
Practice Address - Country:US
Practice Address - Phone:215-888-7730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health