Organization
SHERNA MADAN, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R CLARK PHD (OFFICE MANAGER)
(650) 631-6800
Entity
Organization
Contact information
Practice address
1100 LAUREL ST, SUITE B, SAN CARLOS, CA 94070-5000
(650) 631-6800
(650) 631-6801
Mailing address
1100 LAUREL ST, SUITE B, SAN CARLOS, CA 94070-5000
(650) 631-6800
(650) 631-6801
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G43846
CA
Other
Enumeration date
10/11/2006
Last updated
09/18/2008
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