1871625194 NPI number — DR. THOMAS EARL HAVEL M.D.

Table of content: DR. THOMAS EARL HAVEL M.D. (NPI 1871625194)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871625194 NPI number — DR. THOMAS EARL HAVEL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HAVEL
Provider First Name:
THOMAS
Provider Middle Name:
EARL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871625194
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1347
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ALTOS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94023-1347
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-361-0646
Provider Business Mailing Address Fax Number:
650-949-0303

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2500 GRANT RD.
Provider Second Line Business Practice Location Address:
7025 ECH 133
Provider Business Practice Location Address City Name:
MOUNTAIN VIEW
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94039-7025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-361-0646
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  G32044 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00G320440 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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