Provider Demographics
NPI:1588608756
Name:LANDAU, CLAUDIA (PHD,MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:LANDAU
Suffix:
Gender:F
Credentials:PHD,MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94707-2425
Mailing Address - Country:US
Mailing Address - Phone:510-868-4181
Mailing Address - Fax:510-526-3342
Practice Address - Street 1:930 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94707-2425
Practice Address - Country:US
Practice Address - Phone:510-541-9024
Practice Address - Fax:510-526-3342
Is Sole Proprietor?:No
Enumeration Date:2006-06-16
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG67736207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G677360Medicaid
110192609OtherRAILROAD MEDICARE
00G677362OtherMEDICARE
CA00G677360Medicare ID - Type Unspecified
00G677362OtherMEDICARE