Healthcare Provider Details

I. General information

NPI: 1083473631
Provider Name (Legal Business Name): SHARON RENITA ISAACS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHARON ISAACS-PULLINS MD

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9556 WILLIAMSBURG ST
LITTLETON CO
80125-7997
US

IV. Provider business mailing address

9556 WILLIAMSBURG ST
LITTLETON CO
80125-7997
US

V. Phone/Fax

Practice location:
  • Phone: 316-737-0855
  • Fax:
Mailing address:
  • Phone: 316-737-0855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberDR0078023
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: