MEDICARE: MICHAEL P SHERMAN MD PHD, A MEDICAL CORPORATION

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
1	207RH0003X	Hematology & Oncology Physician	G83108	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ32812Z	OTHER	CA	MEDICARE

General Provider Information

NPI Number	:	1831201912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL P SHERMAN MD PHD, A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	500 LENNON LN
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-2415
Country	:	US
Telephone Number	:	925-939-9610
Fax Number	:	925-939-9839

Provider Business Practice Location Address
First Line	:	500 LENNON LN
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94598-2415
Country	:	US
Telephone Number	:	925-939-9610
Fax Number	:	925-939-9839

Authorized Official
Title or Position	:	OWNER
Name	:	MICHAEL PAUL SHERMAN
Credential	:	MD
Telephone Number	:	925-939-9610

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/23/2014

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