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NPI Code Detail

MEDICARE: DOROTHY VURA-WEIS MD

MEDICARE: DOROTHY VURA-WEIS 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
1207Q00000XFamily Medicine PhysicianG40149CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659442911
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOROTHY VURA-WEIS MD
Provider Business Mailing Address
First Line : 2710 MIDDLEFIELD RD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3404
Country : US
Telephone Number : 650-364-6010
Fax Number :
Provider Business Practice Location Address
First Line : 2710 MIDDLEFIELD RD
Second Line :
City : REDWOOD CITY
State : CA
Zip : 94063-3404
Country : US
Telephone Number : 650-364-6010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2006
Last Update Date : 07/08/2007

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