Provider Demographics
NPI:1083595748
Name:SHARMABUKU, ILA SIMONE (CNM)
Entity type:Individual
Prefix:
First Name:ILA
Middle Name:SIMONE
Last Name:SHARMABUKU
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:ILA
Other - Middle Name:SIMONE
Other - Last Name:SHIMABUKU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:568 CLAUSER DR
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-3612
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:568 CLAUSER DR
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-3612
Practice Address - Country:US
Practice Address - Phone:805-415-6811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife