Goodman, Harris Michael
Goodman, Harris Michael is an individual health care provider with primary practice located at 1541 Florida Ave Ste 200, Modesto CA 95350-4429. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Goodman, Harris Michael can be contacted via phone (209) 577-3388.Contact Information
Primary practice address
1541 Florida Ave Ste 200
Modesto CA 95350-4429
Phone: (209) 577-3388
Fax: (209) 523-0764
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G19278 | California |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | G19278 | California |
Profile Details
| NPI number | 1215925771 |
|---|---|
| LBN Legal business name | Goodman, Harris Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Mar 29th, 2011 - about 13 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 | 1215925771 | NPPES |
| California | Other | CD169Z | INDIVIDUAL PTAN - MEDICARE |
| California | Other | ZZZ48224Z | INDIVIDUAL PTAN - MEDICARE |
| California | Other | 020018719 | INDIVIDUAL PTAN - MEDICARE |
| California | Other | CD069A | INDIVIDUAL PTAN - MEDICARE |
Popular Providers
-
Lee, Calvin M
2336 Sylvan Ave Ste C, Modesto CA 95355-9294 -
Hegazy, Jihan
1541 Florida Ave Suite 200, Modesto CA 95350-4429 -
Davis, Timothy A
1409 E Briggsmore Ave , Modesto CA 95355-2707 -
Seavy, Niamh Mairin
1541 Florida Ave Ste 200, Modesto CA 95350-4429 -
Eve, Kathleen Lynn
1541 Florida Ave Ste 200, Modesto CA 95350-4429 -
Racela, Raymundo Cavosora
1541 Florida Ave Suite 200, Modesto CA 95350-4429 -
Porteous, John
1541 Florida Ave Suite 200, Modesto CA 95350-4429 -
Quaid, Gina A
1541 Florida Ave Suite 200, Modesto CA 95350-4429