Individual
DR. ELIZABETH T TREVATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 321-4121
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51852
CO
208M00000X
Hospitalist Physician
Primary
A115832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023286
KAISER COMMERCIAL NUMBER
CO
05
—
23886871
—
CO
Enumeration date
06/23/2009
Last updated
02/16/2021
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