MEDICARE: SHARON B. DRAGER, MD, PROFESSIONAL CORPORATION

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	2086S0129X	Vascular Surgery Physician	G31281	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821015512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARON B. DRAGER, MD, PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2089 VALE RD
Second Line	:	SUITE 23
City	:	SAN PABLO
State	:	CA
Zip	:	94806-3847
Country	:	US
Telephone Number	:	510-237-7728
Fax Number	:	510-237-8952

Provider Business Practice Location Address
First Line	:	2089 VALE RD
Second Line	:	SUITE 23
City	:	SAN PABLO
State	:	CA
Zip	:	94806-3847
Country	:	US
Telephone Number	:	510-237-7728
Fax Number	:	510-237-8952

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SHARON BETH DRAGER
Credential	:	M.D.
Telephone Number	:	510-237-7728

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	07/25/2007

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