Healthcare Provider Details

I. General information

NPI: 1376962274
Provider Name (Legal Business Name): NEVILLE WEI YANG TEO MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2014
Last Update Date: 04/08/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 WELCH RD DEPARTMENT OF OTOLARYNGOLOGY
PALO ALTO CA
94304-1611
US

IV. Provider business mailing address

801 WELCH RD DEPARTMENT OF OTOLARYNGOLOGY
PALO ALTO CA
94304-1611
US

V. Phone/Fax

Practice location:
  • Phone: 650-724-1745
  • Fax: 650-725-8502
Mailing address:
  • Phone: 650-724-1745
  • Fax: 650-725-8502

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberF299
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: