Nicholau, Theodora K.

Nicholau, Theodora K. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Nicholau, Theodora K. can be contacted via phone (415) 353-1211.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 353-1211
Fax: (415) 353-1990
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G62636 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X G62636 California

Profile Details

NPI number 1619932142
LBN Legal business name Nicholau, Theodora K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 9th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619932142 NPPES
California MEDICAID 0G6263600

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