Provider Demographics
NPI:1972678639
Name:FERNANDEZ-BECKER, NIELSEN QUIMAIRA (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:NIELSEN
Middle Name:QUIMAIRA
Last Name:FERNANDEZ-BECKER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:NIELSEN
Other - Middle Name:QUIMAIRA
Other - Last Name:FERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,PHD
Mailing Address - Street 1:1804 EMBARCADERO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3341
Mailing Address - Country:US
Mailing Address - Phone:650-723-3554
Mailing Address - Fax:650-723-8305
Practice Address - Street 1:300 PASTEUR DR
Practice Address - Street 2:
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-2200
Practice Address - Country:US
Practice Address - Phone:650-723-3554
Practice Address - Fax:650-723-8305
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109586207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology