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NPI Code Detail

MEDICARE: FRANK GLEN SEIDEL M.D.

MEDICARE: FRANK GLEN SEIDEL 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
12085R0202XDiagnostic Radiology PhysicianE08276TX
22085R0202XDiagnostic Radiology Physician25292MN
32085R0202XDiagnostic Radiology PhysicianG89410CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528058716
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK GLEN SEIDEL M.D.
Provider Business Mailing Address
First Line : 2690 HANOVER ST
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-1117
Country : US
Telephone Number : 612-884-0649
Fax Number :
Provider Business Practice Location Address
First Line : 300 PASTEUR DR
Second Line :
City : PALO ALTO
State : CA
Zip : 94304-2203
Country : US
Telephone Number : 612-884-0649
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2005
Last Update Date : 12/08/2015

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Directions to “ FRANK GLEN SEIDEL M.D.” Practice Location

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