Individual
I-FAN THEODORE MAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
42023
TN
207Y00000X
Otolaryngology Physician
Primary
A84366
CA
207Y00000X
Otolaryngology Physician
M8817
TX
Other
Enumeration date
03/15/2007
Last updated
07/01/2025
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