# SHERNA MADAN, MD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558459701
- **Authorized official:** BRIAN R CLARK PHD (OFFICE MANAGER)
- **Authorized official phone:** (650) 631-6800

## Contact information

- **Practice address:** 1100 LAUREL ST, SUITE B, SAN CARLOS, CA 94070-5000
- **Practice address phone:** (650) 631-6800
- **Practice address fax:** (650) 631-6801
- **Mailing address:** 1100 LAUREL ST, SUITE B, SAN CARLOS, CA 94070-5000
- **Mailing address phone:** (650) 631-6800
- **Mailing address fax:** (650) 631-6801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G43846 | CA | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 09/18/2008