Provider Demographics
NPI:1821402702
Name:MATHEWS, HOLLY KRISHNA
Entity type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:KRISHNA
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3883 MIDDLIEFIELD RD.
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-4718
Mailing Address - Country:US
Mailing Address - Phone:650-391-7225
Mailing Address - Fax:
Practice Address - Street 1:3883 MIDDLIEFIELD RD.
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-4718
Practice Address - Country:US
Practice Address - Phone:650-391-7225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program