Provider Demographics
NPI:1174522619
Name:HRABOVSKY, SHARON L (MD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:L
Last Name:HRABOVSKY
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 1:1606 CARMODY CT
Mailing Address - Street 2:SUITE 302
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143-8568
Mailing Address - Country:US
Mailing Address - Phone:724-940-1005
Mailing Address - Fax:724-940-1006
Practice Address - Street 1:1606 CARMODY CT
Practice Address - Street 2:SUITE 302
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-8568
Practice Address - Country:US
Practice Address - Phone:724-940-1005
Practice Address - Fax:724-940-1006
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2009-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD064345L207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1871631291OtherGROUP NPI NUMBER
070015781OtherPALMETTO GBA RAILROAD MED
PA716101OtherHIGHMARK
PA003462ZC44OtherMEDICARE GROUP MEMBER PROVIDER NUMBER
PA716101OtherHIGHMARK
PA003462ZC44OtherMEDICARE GROUP MEMBER PROVIDER NUMBER
PA1871631291OtherGROUP NPI NUMBER