Healthcare Provider Details

I. General information

NPI: 1134442536
Provider Name (Legal Business Name): ANDRO N. SHAROBIEM, MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2010
Last Update Date: 08/05/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3634 ELIZABETH ST
RIVERSIDE CA
92506-2506
US

IV. Provider business mailing address

PO BOX 2057
RIVERSIDE CA
92516-2057
US

V. Phone/Fax

Practice location:
  • Phone: 951-788-0008
  • Fax: 951-788-0007
Mailing address:
  • Phone: 951-788-0008
  • Fax: 951-788-0007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDRO SHAROBIEM
Title or Position: PRESIDENT
Credential: MD
Phone: 951-788-0008