Provider Demographics
NPI:1154306074
Name:TAYLOR, STEPHANIE SARAI (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHANIE
Middle Name:SARAI
Last Name:TAYLOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26365 CARMEL RANCHO BLVD.
Mailing Address - Street 2:SUITE F
Mailing Address - City:CARMEL
Mailing Address - State:CA
Mailing Address - Zip Code:93923
Mailing Address - Country:US
Mailing Address - Phone:831-622-1995
Mailing Address - Fax:831-622-1999
Practice Address - Street 1:26365 CARMEL RANCHO BLVD.
Practice Address - Street 2:SUITE F
Practice Address - City:CARMEL
Practice Address - State:CA
Practice Address - Zip Code:93923
Practice Address - Country:US
Practice Address - Phone:831-622-1995
Practice Address - Fax:831-622-1995
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2015-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA45700207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology