Provider Demographics
NPI:1548894355
Name:SHEEHAN, KAREN ROSANNA (MD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ROSANNA
Last Name:SHEEHAN
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 1:300 PASTEUR DR
Mailing Address - Street 2:
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:STANFORD HOSPITAL AND CLINICS
Practice Address - Street 2:300 PASTEUR DRIVE, RM H3589
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5640
Practice Address - Country:US
Practice Address - Phone:650-498-4899
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-02
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPI666207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology