Individual
TERRENCE R SULLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16450 MATILIJA DR, LOS GATOS, CA 95030-3080
(408) 590-3159
Mailing address
16450 MATILIJA DR, LOS GATOS, CA 95030-3080
(408) 590-3159
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G25099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00061715
RAILROAD MEDICARE
—
Enumeration date
09/01/2005
Last updated
10/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us