Provider Demographics
NPI:1235157892
Name:NEUHAUS, TAMARA BROWN (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMARA
Middle Name:BROWN
Last Name:NEUHAUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TAMARA
Other - Middle Name:JO
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15151 NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2627
Mailing Address - Country:US
Mailing Address - Phone:408-356-0431
Mailing Address - Fax:408-358-1602
Practice Address - Street 1:15151 NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2627
Practice Address - Country:US
Practice Address - Phone:408-356-0431
Practice Address - Fax:408-358-1602
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA84871207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A848710Medicare ID - Type UnspecifiedMEDICARE
CAI40950Medicare UPIN
I40950Medicare UPIN