Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 47833 | CO |
N | 207V00000X | Obstetrician & Gynecologist | A121028 | CA |
Y | 207VE0102X | Reproductive Endocrinologist | A121028 | CA |
NPI | 1184757080 |
---|---|
Provider Name | Isiah Harris |
First Address | San Francisco, CA 94109-0456 |
Second Address | Redwood City, CA 94063-1433 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2007 |
Last Update Date | 04/11/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
71507779 | (05) | CO |