Healthcare Provider Details

I. General information

NPI: 1164592622
Provider Name (Legal Business Name): WILLIAM STEVEN BENKO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 05/07/2024
Certification Date: 05/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 FOLSOM BLVD STE 2100
SACRAMENTO CA
95816-5266
US

IV. Provider business mailing address

3160 FOLSOM BLVD STE 2100
SACRAMENTO CA
95816-5266
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-3588
  • Fax: 916-451-2014
Mailing address:
  • Phone: 916-734-3588
  • Fax: 916-451-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License NumberC144983
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: