Goodman, Grant
Goodman, Grant is an individual health care provider with primary practice located at 27400 Hesperian Blvd , Hayward CA 94545-4235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Goodman, Grant can be contacted via phone (510) 784-4000.Contact Information
Primary practice address
27400 Hesperian Blvd
Hayward CA 94545-4235
Phone: (510) 784-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | A72194 | California |
Profile Details
| NPI number | 1154495760 |
|---|---|
| LBN Legal business name | Goodman, Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1154495760 | NPPES |
| California | MEDICAID | 00A721940 |
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