Provider Demographics
NPI:1992768089
Name:COHEN, SHERYL M (MD)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:M
Last Name:COHEN
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 1:75 PRINGLE WAY
Mailing Address - Street 2:301
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1464
Mailing Address - Country:US
Mailing Address - Phone:775-686-4300
Mailing Address - Fax:775-686-4322
Practice Address - Street 1:75 PRINGLE WAY
Practice Address - Street 2:301
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1464
Practice Address - Country:US
Practice Address - Phone:775-686-4300
Practice Address - Fax:775-686-4322
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9983208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002016920Medicaid
35269Medicare ID - Type Unspecified