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NPI Code Detail

MEDICARE: EDWARD L FELDMAN MD

MEDICARE: EDWARD L FELDMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistG32019CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G32019OTHERCACOMMERICAL INSURANCE
2G320190OTHERCACOMMERICAL INS

General Provider Information

NPI Number : 1588631907
Entity Type Code : Organization
Provider Name (Legal Business Name) : EDWARD L FELDMAN MD
Provider Business Mailing Address
First Line : 4720 HOEN AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7867
Country : US
Telephone Number : 707-571-8300
Fax Number : 707-571-8388
Provider Business Practice Location Address
First Line : 4720 HOEN AVE
Second Line :
City : SANTA ROSA
State : CA
Zip : 95405-7867
Country : US
Telephone Number : 707-571-8300
Fax Number : 707-571-8388
Authorized Official
Title or Position : OWNER
Name : DR. EDWARD LEE FELDMAN
Credential : MD
Telephone Number : 707-571-8300
Provider Enumeration Date : 03/03/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1699770396 — DR. EDWARD L FELDMAN M.D.
Practice Location Address:
4720 HOEN AVE
SANTA ROSA, CA
95405-7867
Practice Phone: 707-571-8300
Practice Fax: 707-571-8388
1215995337 — MARTIN DAN RUBINGER M.D.
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1972534253 — DR. BRUCE DAVID GAYNOR MD
Practice Location Address:
4720 HOEN AVE
SANTA ROSA, CA
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Practice Fax: 707-527-5318
1689747602 — ALLEN GEORGE GRUBER M.D
Practice Location Address:
4720 HOEN AVE
SANTA ROSA, CA
95405-7867
Practice Phone: 707-595-3122
Practice Fax: 707-843-3102
1548334006 — BRUCE D. GAYNOR, M.D., MEDICAL CORPORATION
Practice Location Address:
4720 HOEN AVE
SANTA ROSA, CA
95405-7867
Practice Phone: 707-527-8222
Practice Fax:
1487817854 — JEAN CLAUDE BASSILA M.D.
Practice Location Address:
4720 HOEN AVE STE 1
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95405-7867
Practice Phone: 707-527-9510
Practice Fax: 833-941-2589

Directions to “EDWARD L FELDMAN MD ” Practice Location

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