Healthcare Provider Details

I. General information

NPI: 1205910494
Provider Name (Legal Business Name): SHEILA TOWN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 SOUTH DRIVE SUITE 219
MOUNTAIN VIEW CA
94087
US

IV. Provider business mailing address

1010 W FREMONT AVE STE 200
SUNNYVALE CA
94087-3019
US

V. Phone/Fax

Practice location:
  • Phone: 650-969-4600
  • Fax: 650-969-1936
Mailing address:
  • Phone: 408-739-6200
  • Fax: 408-739-2439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberC31844
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: