Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | G30145 | CA |
NPI | 1194897298 |
---|---|
Provider Name | Dr. Steven N Batanides |
First Address | San Jose, CA 95129-5013 |
Second Address | San Jose, CA 95129-5013 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A44305 | (02) | CA |