Provider Demographics
NPI:1629249065
Name:MILITAR, SHERYL COLOMA (MD, MS, FAAP)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:COLOMA
Last Name:MILITAR
Suffix:
Gender:F
Credentials:MD, MS, FAAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:339 GERALD CIR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-8917
Mailing Address - Country:US
Mailing Address - Phone:310-408-3394
Mailing Address - Fax:
Practice Address - Street 1:5401 NORRIS CANYON RD
Practice Address - Street 2:SUITE 304 - TRI VALLEY PEDIATRICS
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5409
Practice Address - Country:US
Practice Address - Phone:925-380-6230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 60178649208000000X
CAA125183208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics