Provider Demographics
NPI:1700162096
Name:STRUM, SHARON R (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:STRUM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E REDLANDS BLVD
Mailing Address - Street 2:SUITE U 238
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-6109
Mailing Address - Country:US
Mailing Address - Phone:909-260-3163
Mailing Address - Fax:
Practice Address - Street 1:700 E REDLANDS BLVD
Practice Address - Street 2:SUITE U 238
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-6109
Practice Address - Country:US
Practice Address - Phone:909-260-3163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-31
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG71868207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine