Tom, Andrea M

Tom, Andrea M is an individual health care provider with primary practice located at 301 Industrial Rd , San Carlos CA 94070-2603. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Tom, Andrea M can be contacted via phone (650) 596-4030.

Contact Information

Primary practice address
301 Industrial Rd San Carlos CA 94070-2603
Phone: (650) 596-4030
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 47122 Minnesota
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X A77143 California

Profile Details

NPI number 1013980390
LBN Legal business name Tom, Andrea M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated May 28th, 2020 - about 4 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 1013980390 NPPES
California MEDICAID 00A771430
California MEDICAID 370419000

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