Provider Demographics
NPI:1710037726
Name:SHAREK, PAUL J (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:J
Last Name:SHAREK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1804 EMBARCADERO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3341
Mailing Address - Country:US
Mailing Address - Phone:650-736-0926
Mailing Address - Fax:650-497-8465
Practice Address - Street 1:700 WELCH RD
Practice Address - Street 2:STE 227
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1502
Practice Address - Country:US
Practice Address - Phone:650-736-0926
Practice Address - Fax:650-497-8465
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2016-10-13
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Provider Licenses
StateLicense IDTaxonomies
CAG070895208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF83712Medicare UPIN