Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A106007 | CA |
NPI | 1346216652 |
---|---|
Provider Name | Raymund R David |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93636-8761 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 25/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000080878 | PRIMEWEST (01) | MN |
0500684 | MEDICA (01) | SD |
0500684 | PREFERRED ONE (01) | SD |
0592949 | (05) | IA |
13414 | (05) | ND |
2361647 | ARAZ/ AMERICA'S PPO (01) | SD |
246832 | MIDLANDS CHOICE (01) | SD |
315G2RA | BLUE CROSS (01) | MN |
315G2RA | CC SYSTEMS/ BLUE PLUS (01) | MN |
370624200 | DEPT OF LABOR (01) | SD |
388621200 | (05) | MN |
44850 | SANFORD HEALTH PLAN (01) | SD |
46022474339 | (05) | NE |
4994690 | BLUE CROSS (01) | SD |
5549 | DAKOTACARE (01) | SD |
57105I011 | WPS TRICARE (01) | SD |
6100960 | (05) | SD |
HP53361 | HEALTHPARTNERS (01) | SD |
I31598 | (02) | SD |