MEDICARE: DR. LEON TERRY RABINOWITZ M.D.

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	207RH0000X	Hematology (Internal Medicine) Physician	G17362	CA

General Provider Information

NPI Number	:	1326050758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON TERRY RABINOWITZ M.D.

Provider Business Mailing Address
First Line	:	19921 ROBIN WAY
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-6428
Country	:	US
Telephone Number	:	408-354-3679
Fax Number	:	408-354-3679

Provider Business Practice Location Address
First Line	:	4850 UNION AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95124-5156
Country	:	US
Telephone Number	:	408-947-1233
Fax Number	:	408-288-4181

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	07/08/2007

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