Provider Demographics
NPI:1275910705
Name:FISCHER, ADINA SHERI (MD, PHD)
Entity type:Individual
Prefix:
First Name:ADINA
Middle Name:SHERI
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 5000
Mailing Address - Street 2:PMB 54
Mailing Address - City:RANCHO SANTA FE
Mailing Address - State:CA
Mailing Address - Zip Code:92067-5000
Mailing Address - Country:US
Mailing Address - Phone:603-266-9297
Mailing Address - Fax:
Practice Address - Street 1:957 VARIAN WAY
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2408
Practice Address - Country:US
Practice Address - Phone:650-223-5334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-05
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1437712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA143771OtherMD LICENSE