Provider Demographics
NPI:1174710339
Name:EFIRD, THOMAS IRWIN (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:IRWIN
Last Name:EFIRD
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 1:325 DISTEL CIR
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1408
Mailing Address - Country:US
Mailing Address - Phone:510-498-2770
Mailing Address - Fax:
Practice Address - Street 1:3200 KEARNEY ST
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2299
Practice Address - Country:US
Practice Address - Phone:510-498-2770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-01
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA926042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABT453ZMedicare PIN
CABT453JMedicare PIN
CABT453NMedicare PIN
CABT453SMedicare PIN
CABT453UMedicare PIN
CABT453GMedicare PIN
CABT453IMedicare PIN
CABT453HMedicare PIN
CABT453LMedicare PIN
CABT453MMedicare PIN
CABT453PMedicare PIN
CABT453OMedicare PIN
CABT453QMedicare PIN
CABT453RMedicare PIN
BT453WMedicare PIN
CABT453VMedicare PIN
CABT453FMedicare PIN
CABT453EMedicare PIN
CABT453TMedicare PIN
CABT453XMedicare PIN
CABT453YMedicare PIN