Provider Demographics
NPI:1265435838
Name:SPUNT, SHERI L (MD)
Entity type:Individual
Prefix:DR
First Name:SHERI
Middle Name:L
Last Name:SPUNT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 EMBARCADERO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3318
Mailing Address - Country:US
Mailing Address - Phone:650-723-2325
Mailing Address - Fax:
Practice Address - Street 1:262 DANNY THOMAS PL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38105-3678
Practice Address - Country:US
Practice Address - Phone:901-595-3006
Practice Address - Fax:901-595-3842
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2018-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN305952080P0207X
CAG789562080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1135601 00Medicaid
AR135481001Medicaid
TN3897685Medicaid
ME422400000Medicaid
KY64929524Medicaid
IA0527929Medicaid
TX107503801Medicaid
SCQ30595Medicaid
MS00119518Medicaid
OK100204410AMedicaid
NC7614366Medicaid
NJ0030937Medicaid
OH2064608Medicaid
MO205030307Medicaid
IN200192330AMedicaid
AL009912990Medicaid
LA1561371Medicaid
SCQ30595Medicaid
TN3897685Medicaid