Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | G53742 | CA |
NPI | 1013089655 |
---|---|
Provider Name | Dr. Neal Elliot Slatkin |
First Address | San Jose, CA 95124-5156 |
Second Address | San Jose, CA 95124-5156 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/11/2006 |
Last Update Date | 27/05/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G537420 | (05) | CA |
E33844 | (02) | |
P01359171 | PALMETTO GBA (01) | CA |
WG53742A | MEDICARE ID (01) | CA |