Provider Demographics
NPI:1891081535
Name:SHERIFF, SARA K (MD)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:K
Last Name:SHERIFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6125 SNAKE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2618
Mailing Address - Country:US
Mailing Address - Phone:510-999-5767
Mailing Address - Fax:682-219-0891
Practice Address - Street 1:5767 BROADWAY STE 101
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94618-1589
Practice Address - Country:US
Practice Address - Phone:510-999-5767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1121422084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry