Healthcare Provider Details

I. General information

NPI: 1730478041
Provider Name (Legal Business Name): SHARON BUZI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 06/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15151 NATIONAL AVE
LOS GATOS CA
95032
US

IV. Provider business mailing address

PO BOX 742244
LOS ANGELES CA
90074-2244
US

V. Phone/Fax

Practice location:
  • Phone: 408-356-0431
  • Fax:
Mailing address:
  • Phone: 408-356-0431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA127588
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: