MEDICARE: DR. WILLIAM MAXWELL BUCHHOLZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	G-23475	CA
2	207RH0000X	Hematology (Internal Medicine) Physician	G-23475	CA
3	207RX0202X	Medical Oncology Physician	G-23475	CA

General Provider Information

NPI Number	:	1699774406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM MAXWELL BUCHHOLZ MD

Provider Business Mailing Address
First Line	:	1174 CASTRO ST
Second Line	:	SUITE 275
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2568
Country	:	US
Telephone Number	:	650-988-8011
Fax Number	:	650-988-8012

Provider Business Practice Location Address
First Line	:	851 FREMONT AVE
Second Line	:	#104
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5698
Country	:	US
Telephone Number	:	650-980-1982
Fax Number	:	650-229-1011

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2005
Last Update Date	:	07/25/2013

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