Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | G85551 | CA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | G85551 | CA |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | G85551 | CA |
NPI | 1548273758 |
---|---|
Provider Name | Nicholas Ashan Abidi |
First Address | Los Gatos, CA 95032-1418 |
Second Address | Capitola, CA 95010-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 03/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G14735 | (02) | CA |
G85551 | CALIFORNIA (01) | CA |