Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A62476 | CA |
NPI | 1003859661 |
---|---|
Provider Name | Dr. Alexander D Doan |
First Address | San Jose, CA 95128-1811 |
Second Address | San Jose, CA 95128-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2006 |
Last Update Date | 02/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
770566538 | TAX ID (01) | CA |
H28586 | (02) | CA |