Autumn J Broady
Gynecologist - Maternal & Fetal Medicine
5730 Telegraph Ave Ste 117
Oakland
, California 94609-1710
Autumn J Broady
Gynecologist - Maternal & Fetal Medicine
5730 Telegraph Ave Ste 117
Oakland
, California 94609-1710
(415) 369-1384
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About
Features
Specialties
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Autumn J Broady
- 325 Distel Cir
- Los Altos, CA
- Zip : 94022-1408
- Fax : (415) 369-1384
- Phone : (415) 600-6400
Second Address
- Autumn J Broady
- 5730 Telegraph Ave Ste 117
- Oakland, CA
- Zip : 94609-1710
- Fax : (415) 369-1384
- Phone : (415) 600-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 1046715 | CA |
National Provider Identifier
| NPI | 1053549048 |
|---|---|
| Provider Name | Autumn J Broady |
| First Address | Los Altos, CA 94022-1408 |
| Second Address | Oakland, CA 94609-1710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/06/2009 |
| Last Update Date | 24/02/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A142657 | STATE MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.