MEDICARE: NEIL PARTAIN 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
1	207RP1001X	Pulmonary Disease Physician	MD-P-2023-001	GU
2	208D00000X	General Practice Physician	MD60346379	WA
3	208D00000X	General Practice Physician	00027000	AL
4	207RP1001X	Pulmonary Disease Physician	MD60346379	WA
5	207R00000X	Internal Medicine Physician	MD60346379	WA

General Provider Information

NPI Number	:	1053360057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEIL PARTAIN MD

Provider Business Mailing Address
First Line	:	COMNAVSURFPAC 2841 RENDOVA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92155-5490
Country	:	US
Telephone Number	:	808-473-2553
Fax Number	:

Provider Business Practice Location Address
First Line	:	COMNAVSURFPAC 2841 RENDOVA RD
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92155-5490
Country	:	US
Telephone Number	:	808-473-2553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/15/2024

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Directions to “ NEIL PARTAIN MD” Practice Location

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