Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208800000X | Urologist | A29629 | CA |
NPI | 1003923020 |
---|---|
Provider Name | Inder Perkash |
First Address | Stanford, CA 94305-1050 |
Second Address | Stanford, CA 94305-1050 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 16/11/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A25834 | (02) |