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SHARON B. DRAGER MD PROFESSIONAL CORPORATION NPI 1821015512


NPI Information

NPI: 1821015512
Provider Name: SHARON B. DRAGER, MD, PROFESSIONAL CORPORATION
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

Address:
2089 VALE RD
SUITE 23
SAN PABLO, CA
ZIP 94806
Phone: (510) 237-7728
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SHARON B. DRAGER, MD, PROFESSIONAL CORPORATION is a vascular surgery surgery in San Pablo, CA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. SHARON B. DRAGER, MD, PROFESSIONAL CORPORATION NPI is 1821015512. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2089 VALE RD
SUITE 23
SAN PABLO, CA
ZIP 94806-847
Phone: (510) 237-7728
Fax: (510) 237-8952

The provider's authorized official is Sharon Beth Drager .
The authorized official title is President and has the following contact phone number (510) 237-7728.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 7/25/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular SurgeryG31281CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100G312810MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2A44710MEDICARE UPIN
300G312810MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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