Provider Demographics
NPI:1598878894
Name:PHELAN, DARREN DOYLE (MD)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:DOYLE
Last Name:PHELAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:401 BURGESS DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-3469
Mailing Address - Country:US
Mailing Address - Phone:650-326-0840
Mailing Address - Fax:650-326-1719
Practice Address - Street 1:401 BURGESS DR
Practice Address - Street 2:SUITE D
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-3469
Practice Address - Country:US
Practice Address - Phone:650-326-0840
Practice Address - Fax:650-326-1719
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2013-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG071895207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F18797Medicare UPIN