Provider Demographics
NPI:1598760563
Name:PAU, PATRICK W (MD)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:W
Last Name:PAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:333 MOSELEY ROAD
Mailing Address - Street 2:
Mailing Address - City:HILLSBORUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-7165
Mailing Address - Country:US
Mailing Address - Phone:650-347-8471
Mailing Address - Fax:650-347-8471
Practice Address - Street 1:333 MOSELEY ROAD
Practice Address - Street 2:
Practice Address - City:HILLSBORUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-7165
Practice Address - Country:US
Practice Address - Phone:650-347-8471
Practice Address - Fax:650-347-8471
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2014-08-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA62511207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A625111Medicaid
G64436Medicare UPIN
CA00A625111Medicaid
CA00A625110Medicare PIN