Provider Demographics
NPI:1669853727
Name:SHARABI ESHEL, HAMUTAL
Entity type:Individual
Prefix:
First Name:HAMUTAL
Middle Name:
Last Name:SHARABI ESHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HAMUTAL
Other - Middle Name:
Other - Last Name:SHARABI ESHEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2635 MAPLETON AVE LOT 74
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-3827
Mailing Address - Country:US
Mailing Address - Phone:720-369-6707
Mailing Address - Fax:
Practice Address - Street 1:2635 MAPLETON AVE LOT 74
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-3827
Practice Address - Country:US
Practice Address - Phone:720-369-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-15
Last Update Date:2015-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program