Provider Demographics
NPI:1679506000
Name:SEARS, MARY R (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:R
Last Name:SEARS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:DEPT 34929
Mailing Address - Street 2:P,O, BOX 39000
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94139-0001
Mailing Address - Country:US
Mailing Address - Phone:925-952-2828
Mailing Address - Fax:925-952-2850
Practice Address - Street 1:140 BROOKWOOD RD
Practice Address - Street 2:SUITE 201
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3042
Practice Address - Country:US
Practice Address - Phone:925-254-9090
Practice Address - Fax:925-254-4399
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2012-06-21
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Provider Licenses
StateLicense IDTaxonomies
CAG54864207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G548640Medicaid
CA00G548642Medicare PIN
CAA52810Medicare UPIN
CAP00221233Medicare PIN