Provider Demographics
NPI:1285924621
Name:GMACH, SARAH (MD, MPH)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:GMACH
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:CHAUDHARY
Other - Last Name:RAZZAK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:751 S BASCOM AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2604
Mailing Address - Country:US
Mailing Address - Phone:408-885-5000
Mailing Address - Fax:408-885-6317
Practice Address - Street 1:751 S BASCOM AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2604
Practice Address - Country:US
Practice Address - Phone:408-885-7724
Practice Address - Fax:408-885-6317
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-18
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA126225207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program