Provider Demographics
NPI:1457440976
Name:CHERRY, SHELDON H (MD)
Entity Type:Individual
Prefix:DR
First Name:SHELDON
Middle Name:H
Last Name:CHERRY
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:FIU MEDICAL SCHOOL AHC2 456A
Mailing Address - Street 2:11200 SW 8TH STREET
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33199-0001
Mailing Address - Country:US
Mailing Address - Phone:305-348-4370
Mailing Address - Fax:305-348-1495
Practice Address - Street 1:FIU MEDICAL SCHOOL AHC2 456A
Practice Address - Street 2:11200 SW 8TH STREET
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33199-0001
Practice Address - Country:US
Practice Address - Phone:305-348-4370
Practice Address - Fax:305-348-1495
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082516207V00000X
FLMFC 1675207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C07481Medicare UPIN
264951Medicare ID - Type Unspecified