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NPI Code Detail

MEDICARE: DR. STERLING MOICHIRO NAKAMURA M.D.

MEDICARE: DR. STERLING MOICHIRO NAKAMURA M.D.
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
12084P0015XPsychosomatic Medicine PhysicianA90609CA

General Provider Information

NPI Number : 1841400728
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STERLING MOICHIRO NAKAMURA M.D.
Provider Business Mailing Address
First Line : PO BOX 60579
Second Line :
City : PALO ALTO
State : CA
Zip : 94306-0579
Country : US
Telephone Number : 650-962-4928
Fax Number : 650-204-6837
Provider Business Practice Location Address
First Line : 2500 GRANT RD
Second Line :
City : MOUNTAIN VIEW
State : CA
Zip : 94040-4302
Country : US
Telephone Number : 650-962-4928
Fax Number : 650-204-6837
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 02/09/2009

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