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NPI Code Detail

MEDICARE: DOMINIQUE NICOLE SHERRY MD, MPH

MEDICARE: DOMINIQUE NICOLE SHERRY MD, MPH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1811838477
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOMINIQUE NICOLE SHERRY MD, MPH
Provider Business Mailing Address
First Line : 331 HUGO ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-2605
Country : US
Telephone Number : 925-725-1090
Fax Number :
Provider Business Practice Location Address
First Line : 350 HAWTHORNE AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94609-3108
Country : US
Telephone Number : 510-869-8751
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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