Provider Demographics
NPI:1164412433
Name:REED, THOMAS DURAND (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:DURAND
Last Name:REED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 52ND STREET
Mailing Address - Street 2:CHILDREN'S HOSPITAL - OAKLAND
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-0000
Mailing Address - Country:US
Mailing Address - Phone:510-428-3710
Mailing Address - Fax:
Practice Address - Street 1:747 52ND STREET
Practice Address - Street 2:CHILDREN'S HOSPITAL - OAKLAND
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-0000
Practice Address - Country:US
Practice Address - Phone:510-428-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC406862080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine