Provider Demographics
NPI:1033810569
Name:SARA SHERIFF MD, INC.
Entity Type:Organization
Organization Name:SARA SHERIFF MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-999-5767
Mailing Address - Street 1:6125 SNAKE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2618
Mailing Address - Country:US
Mailing Address - Phone:510-999-5767
Mailing Address - Fax:
Practice Address - Street 1:6125 SNAKE RD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2618
Practice Address - Country:US
Practice Address - Phone:510-999-5767
Practice Address - Fax:682-219-0891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty