Sharon L Henry, MD | |
901 Nevin Ave, Richmond, CA 94801-3143 | |
(510) 307-1500 | |
Not Available |
Full Name | Sharon L Henry |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 901 Nevin Ave, Richmond, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619052396 | NPI | - | NPPES |
00A781250 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A78125 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Sharon L Henry, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Sharon L Henry, MD 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1500 |
Edward Eugene Mahl, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Haylene Anesoir, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 120 Broadway, Suite 4, Richmond, CA 94804 Phone: 510-237-9537 | |
Anjana Ray, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Sarah Horner, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 | |
Jennifer An, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 150 Harbour Way N, Richmond, CA 94804 Phone: 510-237-9537 | |
Susan Elizabeth Stephens Dierauf, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 901 Nevin Ave, Kaiser Richmond Campus, Richmond, CA 94801 Phone: 510-307-1500 | |
Cherilyn M. Brunetti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 901 Nevin Ave, Richmond, CA 94801 Phone: 510-307-1500 |