MEDICARE: SHERRY SIAREZI 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
1	207V00000X	Obstetrics & Gynecology Physician	MD-19290	HI
2	207V00000X	Obstetrics & Gynecology Physician	M0274	TX
3	207VG0400X	Gynecology Physician	59872	TN
4	207V00000X	Obstetrics & Gynecology Physician	59872	TN

General Provider Information

NPI Number	:	1942267208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY SIAREZI M.D.

Provider Business Mailing Address
First Line	:	1195 OLD HICKORY BLVD STE 101
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4239
Country	:	US
Telephone Number	:	629-230-1988
Fax Number	:	629-230-0288

Provider Business Practice Location Address
First Line	:	1195 OLD HICKORY BLVD STE 101
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4239
Country	:	US
Telephone Number	:	629-230-1988
Fax Number	:	629-230-0288

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	06/14/2025

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