Provider Demographics
NPI:1528293594
Name:SHARABY, MOHAMED EL-HUSSEIN (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:EL-HUSSEIN
Last Name:SHARABY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 MAIN ST N UNIT 1510
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33716-1363
Mailing Address - Country:US
Mailing Address - Phone:954-806-2420
Mailing Address - Fax:
Practice Address - Street 1:1066 SEAGRAPE DR
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-3048
Practice Address - Country:US
Practice Address - Phone:954-806-2420
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA123591207W00000X
FLME131570207W00000X, 207WX0009X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0009XAllopathic & Osteopathic PhysiciansOphthalmologyGlaucoma Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020672600Medicaid