Provider Demographics
NPI:1114927134
Name:RICE, HOWARD L (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:L
Last Name:RICE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:693 MORSE ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-2119
Mailing Address - Country:US
Mailing Address - Phone:650-210-8000
Mailing Address - Fax:650-210-8200
Practice Address - Street 1:693 MORSE ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95126-2119
Practice Address - Country:US
Practice Address - Phone:650-210-8000
Practice Address - Fax:650-210-8200
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-01
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60488207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
H54175Medicare UPIN
CA00A604880Medicare ID - Type Unspecified