Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G13517 | CA |
N | 111NI0900X | Internist | G13517 | CA |
N | 207RA0401X | Internist - Addiction Medicine | G13517 | CA |
N | 207RH0000X | Hematologist | G13517 | CA |
NPI | 1922190420 |
---|---|
Provider Name | Donald Richard Avoy |
First Address | San Jose, CA 95128-2604 |
Second Address | San Jose, CA 95128-2648 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 08/07/2007 |