Provider Demographics
NPI:1922149756
Name:GEAGHAN, SHARON M (MD)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:M
Last Name:GEAGHAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:300 PASTEUR DR RM L235
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-7211
Mailing Address - Fax:650-725-7409
Practice Address - Street 1:300 PASTEUR DR RM L235
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-7211
Practice Address - Fax:650-725-7409
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG60618207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G606180Medicaid
CA00G606182Medicare ID - Type Unspecified
CAF27314Medicare UPIN