Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G032410 | CA |
N | 111NI0900X | Internist | G032410 | CA |
N | 207RC0200X | Critical Care Medicine | G032410 | CA |
N | 207RP1001X | Pulmonary Disease | G032410 | CA |
NPI | 1033113758 |
---|---|
Provider Name | Dr. Allan Douglas Siefkin |
First Address | Sacramento, CA 95817-2201 |
Second Address | Sacramento, CA 95817-2201 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A45140 | (02) | CA |