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:
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295797322 | NPPES |
California | MEDICAID | 00A611750 |
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