Provider Demographics
NPI:1972984060
Name:MICHAM, BRITTNI MAE (MD)
Entity type:Individual
Prefix:DR
First Name:BRITTNI
Middle Name:MAE
Last Name:MICHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3801 MIRANDA AVE BLDG 7
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1207
Mailing Address - Country:US
Mailing Address - Phone:408-475-3640
Mailing Address - Fax:682-204-2784
Practice Address - Street 1:3801 MIRANDA AVE BLDG 7
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1207
Practice Address - Country:US
Practice Address - Phone:408-475-3640
Practice Address - Fax:682-204-2784
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA161923208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation