Provider Demographics
NPI:1013120260
Name:THIRU, GAYATHRI (MD)
Entity Type:Individual
Prefix:DR
First Name:GAYATHRI
Middle Name:
Last Name:THIRU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:GAYATHRI
Other - Middle Name:
Other - Last Name:THIRUMALAISELVAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2490 HOSPITAL DRIVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040
Mailing Address - Country:US
Mailing Address - Phone:408-900-8077
Mailing Address - Fax:844-965-9436
Practice Address - Street 1:2490 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 212
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040
Practice Address - Country:US
Practice Address - Phone:408-900-8077
Practice Address - Fax:844-965-9436
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102994207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine