# SHARON B. DRAGER, MD, PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821015512
- **Authorized official:** DR. SHARON BETH DRAGER M.D. (PRESIDENT)
- **Authorized official phone:** (510) 237-7728

## Contact information

- **Practice address:** 2089 VALE RD, SUITE 23, SAN PABLO, CA 94806-3847
- **Practice address phone:** (510) 237-7728
- **Practice address fax:** (510) 237-8952
- **Mailing address:** 2089 VALE RD, SUITE 23, SAN PABLO, CA 94806-3847
- **Mailing address phone:** (510) 237-7728
- **Mailing address fax:** (510) 237-8952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | G31281 | CA | Yes |

## Other

- **Enumeration date:** 07/17/2006
- **Last updated:** 07/25/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G312810 | — | CA |