Provider Demographics
NPI:1841400728
Name:NAKAMURA, STERLING MOICHIRO (MD)
Entity Type:Individual
Prefix:DR
First Name:STERLING
Middle Name:MOICHIRO
Last Name:NAKAMURA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 60579
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-0579
Mailing Address - Country:US
Mailing Address - Phone:650-962-4928
Mailing Address - Fax:650-204-6837
Practice Address - Street 1:2500 GRANT RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4302
Practice Address - Country:US
Practice Address - Phone:650-962-4928
Practice Address - Fax:650-204-6837
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA906092084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine