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Individual
DR. THEODORA K. NICHOLAU
Active
Individual
DR. THEODORA K. NICHOLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G62636
CA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
G62636
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G6263600
—
CA
Enumeration date
04/18/2006
Last updated
06/09/2008
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