Healthcare Provider Details

I. General information

NPI: 1871594085
Provider Name (Legal Business Name): CARLOS C SAY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 04/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 E BELLEVUE RD
ATWATER CA
95301-2306
US

IV. Provider business mailing address

329 E BELLEVUE RD
ATWATER CA
95301-2306
US

V. Phone/Fax

Practice location:
  • Phone: 209-358-6494
  • Fax: 209-358-6498
Mailing address:
  • Phone: 209-358-6494
  • Fax: 209-358-6498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberA26702
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA26702
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberA26702
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2086X0206X
TaxonomySurgical Oncology Physician
License NumberA26702
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: