Dawn, Samuel K

Dawn, Samuel K is an individual health care provider with primary practice located at 2500 Grant Rd , Mountain View CA 94040-4302. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Dawn, Samuel K can be contacted via phone (650) 940-7044.

Contact Information

Primary practice address
2500 Grant Rd Mountain View CA 94040-4302
Phone: (650) 940-7044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X A61175 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A61175 California

Profile Details

NPI number 1295797322
LBN Legal business name Dawn, Samuel K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2006
Last updated Sep 8th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295797322 NPPES
California MEDICAID 00A611750

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