Provider Demographics
NPI:1073711453
Name:SHAROBIEM, ANDRO (MD)
Entity Type:Individual
Prefix:
First Name:ANDRO
Middle Name:
Last Name:SHAROBIEM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2057
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92516-2057
Mailing Address - Country:US
Mailing Address - Phone:951-788-0008
Mailing Address - Fax:951-788-0007
Practice Address - Street 1:3634 ELIZABETH ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-2506
Practice Address - Country:US
Practice Address - Phone:951-788-0008
Practice Address - Fax:951-788-0007
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100752207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine