Sherna Madan, MD, Inc.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

G43846 Issued in CA

Legal business name

SHERNA MADAN, MD, INC.

Practice address

1100 Laurel St
Suite B
San Carlos, CA 94070-5000

Phone

(650) 631-6800

Fax

(650) 631-6801

NPI assigned

Oct 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian R Clark, PHD

Title

Office Manager

Phone

(650) 631-6800

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1558459701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 LAUREL ST",
            "address_2": "SUITE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705000",
            "telephone_number": "650-631-6800",
            "fax_number": "650-631-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 LAUREL ST",
            "address_2": "SUITE B",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705000",
            "telephone_number": "650-631-6800",
            "fax_number": "650-631-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERNA MADAN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "650-631-6800",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "G43846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Shapiro
• Jacqueline Shauh, PHARMD
• Ashley Necole Sheehy
• Haleh Sheikholeslami, M.D.
• Kia Nicole Shepherd
• Shifteh Iranmanesh DMD Inc
• Jay Shin
• Monica Ochoa Shipp, M.A., ED.M.
• Amy Ruddle Shohet, LCSW
• Perry Michael Shoor, M.D.

• Medical Specialty Clinic/Center in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.