Provider Demographics
NPI:1831121425
Name:DANIHER, AMY SAWYER (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:SAWYER
Last Name:DANIHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:ELIZABETH
Other - Last Name:SAWYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:34 N SAN MATEO DR # 1
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-2824
Mailing Address - Country:US
Mailing Address - Phone:650-393-5851
Mailing Address - Fax:650-393-5871
Practice Address - Street 1:34 NORTH SAN MATEO DRIVE #1
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-696-5851
Practice Address - Fax:650-393-5871
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA72920207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH38082Medicare UPIN