Provider Demographics
NPI:1548295975
Name:DE EDWARDS, SHARON YVETTE (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:YVETTE
Last Name:DE EDWARDS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2240 GLADSTONE DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565
Mailing Address - Country:US
Mailing Address - Phone:925-754-9961
Mailing Address - Fax:925-754-1902
Practice Address - Street 1:2240 GLADSTONE DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565
Practice Address - Country:US
Practice Address - Phone:925-754-9961
Practice Address - Fax:925-754-1902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2014-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAA44611207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CE655AMedicare UPIN