MEDICARE: SAMY SHAROBEEM, M D INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician

General Provider Information

NPI Number	:	1336514546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMY SHAROBEEM, M D INC

Provider Business Mailing Address
First Line	:	8549 WILSHIRE BLVD STE 1414
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-3104
Country	:	US
Telephone Number	:	310-203-0222
Fax Number	:	310-652-4053

Provider Business Practice Location Address
First Line	:	150 N ROBERTSON BLVD STE 150
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2171
Country	:	US
Telephone Number	:	310-203-0222
Fax Number	:	310-652-4053

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SAMY SHAROBEEM
Credential	:
Telephone Number	:	310-203-0222

Provider Enumeration Date	:	12/14/2015
Last Update Date	:	07/25/2024

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