Amy Gilliam, MD | |
795 El Camino Real, Palo Alto, CA 94301-2302 | |
(650) 853-2982 | |
Not Available |
Full Name | Amy Gilliam |
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Gender | Female |
Speciality | Dermatology - Pediatric Dermatology |
Location | 795 El Camino Real, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1073571139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | A70772 (California) | Secondary |
207NP0225X | Dermatology - Pediatric Dermatology | A70772 (California) | Primary |
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
Mailing Address | Practice Location Address |
---|---|
Amy Gilliam, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (650) 853-2982 | Amy Gilliam, MD 795 El Camino Real, Palo Alto, CA 94301-2302 Ph: (650) 853-2982 |
Ruth Rothman, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-4865 | |
Shireen Victoria Guide, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 725 Welch Rd, Palo Alto, CA 94304 Phone: 650-497-8000 | |
Dr. Sara Whitehead, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 310 Bryant St, Palo Alto, CA 94301 Phone: 650-250-2434 | |
Dr. Miguel Canales, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 900 Welch Rd Ste 300, Palo Alto, CA 94304 Phone: 650-683-0535 | |
Dr. Eric Petrie Smith, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 900 Welch Rd, Suite 300, Palo Alto, CA 94304 Phone: 650-325-6000 | |
Teresa Fu, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2982 |