Provider Demographics
NPI:1760494116
Name:REID, THOMAS TELFER (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:TELFER
Last Name:REID
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 1:533 PARNASSUS AVE
Mailing Address - Street 2:BOX 0131, SUITE C-109
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2208
Mailing Address - Country:US
Mailing Address - Phone:415-476-4846
Mailing Address - Fax:415-476-5020
Practice Address - Street 1:533 PARNASSUS AVE
Practice Address - Street 2:BOX 0131, SUITE C-109
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2208
Practice Address - Country:US
Practice Address - Phone:415-476-4846
Practice Address - Fax:415-476-5020
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114505207RH0002X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist