Provider Demographics
NPI:1629389382
Name:SHAROBEEM, ANDREW MENA (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MENA
Last Name:SHAROBEEM
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:4550 E BELL RD STE 170
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-9385
Mailing Address - Country:US
Mailing Address - Phone:480-443-8400
Mailing Address - Fax:480-443-8697
Practice Address - Street 1:5681 W BEVERLY LN STE 100
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85306-9800
Practice Address - Country:US
Practice Address - Phone:480-443-8400
Practice Address - Fax:480-443-8697
Is Sole Proprietor?:No
Enumeration Date:2010-06-28
Last Update Date:2022-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ008260207RR0500X
AZ006112207RR0500X
NJ25MB09590800207RR0500X
NY272846-1207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ603032Medicaid
AZZ234363OtherMEDICARE