Evergreen Pediatrics Inc in San Jose - Pediatrics
Evergreen Pediatrics Inc - NPI 1972641736
Evergreen Pediatrics Inc is a Pediatrics in San Jose, California. Evergreen Pediatrics Inc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Evergreen Pediatrics Inc is 1972641736. The last update date is 2013-10-02.
Evergreen Pediatrics Inc's current location address is 4205 San Felipe Rd, San Jose, California. You can contact this provider via phone number 4082388303 and fax number 4082388375. The mailing address for Evergreen Pediatrics Inc is 4205 San Felipe Rd, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Pediatrics Inc |
|---|---|
| Address | 4205 San Felipe Rd, San Jose, California |
| Phone Number | 4082388303 |
| Fax Number | 4082388375 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Nigam Pronoti |
| Credentials | M.D. |
| Telephone Number | 4082388303 |
NPI Number Detail
| NPI Number | 1972641736 |
|---|---|
| Provider Enumeration Date | 2007-02-02 |
| Last Updated Date | 2013-10-02 |
Provider Mailing Address Detail
| Address | 4205 San Felipe Rd |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951351503 |
| Phone Number | 4082388303 |
| Fax Number | 4082388375 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A33613 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C431251 | CA | -- | |
| 00A336130 | CA | -- | |
| R09208 | CA | BLUE CROSS MEDICAL | |
| 1053390310 | CA | PRONOTI NIGAM MD NPI | |
| 1750497608 | CA | ZAHIDA P MALIKMD NPI | |
| R09238 | BLUE CROSS MEDICAL |
Post Comment/ Review Below
What is the Evergreen Pediatrics Inc's 1972641736?
The Evergreen Pediatrics Inc's NPI (National Provider Identifier) Number is 1972641736. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Evergreen Pediatrics Inc is physically located?
The Evergreen Pediatrics Inc is situated at the following address: 4205 San Felipe Rd, San Jose, CA 951351503.
What is the Evergreen Pediatrics Inc's specialty and taxonomy code?
The Evergreen Pediatrics Inc's specialty is Pediatrics, and the corresponding taxonomy code is 208000000X.
When did the Evergreen Pediatrics Inc receive its 1972641736?
The Evergreen Pediatrics Inc was issued its 1972641736 on 2007-02-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Evergreen Pediatrics Inc's details last updated?
The information pertaining to the Evergreen Pediatrics Inc, including its address, specialty, and other details, was most recently updated on 2013-10-02.