Provider Demographics
NPI:1184832719
Name:DROST, SHARON SOOKDEO (MD)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:SOOKDEO
Last Name:DROST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:SOOKDEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2310 HOMESTEAD RD
Mailing Address - Street 2:SUITE C1-201
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-7339
Mailing Address - Country:US
Mailing Address - Phone:408-356-4777
Mailing Address - Fax:408-356-4775
Practice Address - Street 1:2450 SAMARITAN DR
Practice Address - Street 2:SUITE 2
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-3912
Practice Address - Country:US
Practice Address - Phone:408-356-4777
Practice Address - Fax:408-356-4775
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA859032084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A859030Medicare UPIN