Basic Information
Provider Information
NPI: 1639330798
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMILTON
FirstName: SARAH
MiddleName: ELIZABETH
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1422 EL CAMINO REAL
Address2:  
City: MENLO PARK
State: CA
PostalCode: 940254110
CountryCode: US
TelephoneNumber: 6509039500
FaxNumber: 6509888337
Practice Location
Address1: 1422 EL CAMINO REAL
Address2:  
City: MENLO PARK
State: CA
PostalCode: 940254110
CountryCode: US
TelephoneNumber: 6509039500
FaxNumber: 6509888337
Other Information
ProviderEnumerationDate: 06/21/2008
LastUpdateDate: 06/20/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X231845MAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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