Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 304559 | NY |
N | 208600000X | Surgeon | 304559 | NY |
N | 208200000X | Surgeon | A168013 | CA |
N | 208600000X | Surgeon | A168013 | CA |
N | 2086S0105X | Surgery of the Hand | 063831 | CA |
Y | 2086S0105X | Surgery of the Hand | A168013 | CA |
NPI | 1134482805 |
---|---|
Provider Name | Dr. Andrew Diamond Guenthart |
First Address | Morgan Hill, CA 95037-5496 |
Second Address | Morgan Hill, CA 95037-5496 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2012 |
Last Update Date | 17/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134482805 | NPI (01) |