Dr. Theodora K. Nicholau, MD
Anesthesiology in San Francisco, CA. Individual provider (NPI-1).
NPI number1619932142
StatusActive
Last updated in NPPESJun 9, 2008
Details
- NPI
- 1619932142
- Entity type
- Individual (NPI-1)
- Name
- Dr. Theodora K. Nicholau
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2006
- Last updated
- Jun 9, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | G62636 | CA | Yes |
| 207LC0200X | Anesthesiology, Critical Care Medicine | G62636 | CA |
Practice location
505 Parnassus AveSan Francisco, CA 94143-2204
Phone 415-353-1211 · Fax 415-353-1990
Mailing address
1635 Divisadero Street, Suite 625, Box 1821San Francisco, CA 94143-0001
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