Provider Demographics
NPI:1598807455
Name:MOAYERI, SHARON E (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:E
Last Name:MOAYERI
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1401 AVOCADO AVE
Mailing Address - Street 2:SUITE 403
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7720
Mailing Address - Country:US
Mailing Address - Phone:949-706-2229
Mailing Address - Fax:949-706-8490
Practice Address - Street 1:1401 AVOCADO AVE
Practice Address - Street 2:SUITE 403
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7720
Practice Address - Country:US
Practice Address - Phone:949-706-2229
Practice Address - Fax:949-706-8490
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2012-02-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA79358207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI21355Medicare UPIN