Healthcare Provider Details

I. General information

NPI: 1023188331
Provider Name (Legal Business Name): LEAH SHARON MILLHEISER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 DUBLIN BLVD
DUBLIN CA
94568-3113
US

IV. Provider business mailing address

325 DISTEL CIR
LOS ALTOS CA
94022-1408
US

V. Phone/Fax

Practice location:
  • Phone: 925-875-6546
  • Fax:
Mailing address:
  • Phone: 925-875-6546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA77840
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA77840
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: