Sherry Karon Taujale Shrestha, M.D.
Individual provider Active NPI Family Medicine Physician · Eau Claire, MI
NPI 1699762575 · NPPES record last updated Jan 6, 2017
Key facts
- NPI
- 1699762575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5692 (SD)
- Practice address
- 6270 W Main St
Eau Claire, MI 49111-9480 - Phone
- (269) 461-6927
- NPI assigned
- Oct 5, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5692 | SD | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5692 | SD | Yes |
Addresses
Primary practice location
6270 W Main St
Eau Claire, MI 49111-9480
Mailing address
6270 W Main St
Eau Claire, MI 49111-9480
Phone (269) 461-6927
Other providers in Eau Claire, MI
All providers in Eau Claire, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.