Healthcare Provider Details

I. General information

NPI: 1225177983
Provider Name (Legal Business Name): STEPHEN M NAGY II MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 04/16/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 J STREET STE A
SACRAMENTO CA
95819
US

IV. Provider business mailing address

4801 J STREET STE A
SACRAMENTO CA
95819
US

V. Phone/Fax

Practice location:
  • Phone: 916-456-4782
  • Fax: 916-456-8277
Mailing address:
  • Phone: 916-456-4782
  • Fax: 916-456-8277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberG014269
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG014269
License Number StateCA

VIII. Authorized Official

Name: DR. STEPHEN M NAGY II
Title or Position: PRESIDENT
Credential: MD
Phone: 916-456-4782