Individual
ERI FUKAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A135165
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A135165
CA
207RC0000X
Cardiovascular Disease Physician
MD448408
PA
208200000X
Plastic Surgery Physician
A135165
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
A135165
CA
2086S0129X
Vascular Surgery Physician
A135165
CA
Other
Enumeration date
04/14/2009
Last updated
04/29/2024
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