Provider Demographics
NPI:1265639454
Name:TWOMEY, PATRICK SHAWN (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:SHAWN
Last Name:TWOMEY
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 1:1 DNA WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-4918
Mailing Address - Country:US
Mailing Address - Phone:650-225-2580
Mailing Address - Fax:650-225-6000
Practice Address - Street 1:1 DNA WAY
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-4918
Practice Address - Country:US
Practice Address - Phone:650-225-2580
Practice Address - Fax:650-225-6000
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101245204207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIVAD000Medicare UPIN