Healthcare Provider Details

I. General information

NPI: 1538602420
Provider Name (Legal Business Name): PAMELA TWU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2016
Last Update Date: 09/24/2020
Certification Date: 09/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

925 HAMILTON AVE
MENLO PARK CA
94025-1431
US

IV. Provider business mailing address

925 HAMILTON AVE
MENLO PARK CA
94025-1431
US

V. Phone/Fax

Practice location:
  • Phone: 650-521-5440
  • Fax:
Mailing address:
  • Phone: 650-521-5440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA152627
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: