Provider Demographics
NPI:1073550224
Name:PILLSBURY, HELEN M (MD)
Entity Type:Individual
Prefix:
First Name:HELEN
Middle Name:M
Last Name:PILLSBURY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:401 BURGESS DR STE B
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3476
Mailing Address - Country:US
Mailing Address - Phone:650-325-9906
Mailing Address - Fax:650-325-1295
Practice Address - Street 1:401 BURGESS DR STE B
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-3476
Practice Address - Country:US
Practice Address - Phone:650-325-9906
Practice Address - Fax:650-325-1295
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY215507207R00000X
CAG73432207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02105737Medicaid
NY8394106761Medicare PIN
NY02105737Medicaid