Didech, Dean M.
Didech, Dean M. is an individual health care provider with primary practice located at 227 N Jackson Ave , San Jose CA 95116-1603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Didech, Dean M. can be contacted via phone (408) 347-2030.Contact Information
Primary practice address
227 N Jackson Ave
San Jose CA 95116-1603
Phone: (408) 347-2030
Fax: (408) 347-2192
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | G35698 | California |
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | G35698 | California |
Profile Details
NPI number | 1417973942 |
---|---|
LBN Legal business name | Didech, Dean M. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2006 |
Last updated | Oct 10th, 2007 - about 18 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 | 1417973942 | NPPES |
California | MEDICAID | 00G356980 |
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