Provider Demographics
NPI:1093344871
Name:JAMES, SHERIDAN LEIGH (MD)
Entity Type:Individual
Prefix:
First Name:SHERIDAN
Middle Name:LEIGH
Last Name:JAMES
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 1:3333 E CAMELBACK RD STE 122
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-2323
Mailing Address - Country:US
Mailing Address - Phone:602-550-8156
Mailing Address - Fax:602-381-3281
Practice Address - Street 1:3333 E CAMELBACK RD STE 122
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-2323
Practice Address - Country:US
Practice Address - Phone:602-522-1900
Practice Address - Fax:602-381-3281
Is Sole Proprietor?:No
Enumeration Date:2020-04-03
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ63629207R00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program