Provider Demographics
NPI:1194711580
Name:WOODS, NORMAN P (MD)
Entity type:Individual
Prefix:
First Name:NORMAN
Middle Name:P
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12980 TEN OAK WAY
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-4421
Mailing Address - Country:US
Mailing Address - Phone:408-464-5741
Mailing Address - Fax:650-631-2448
Practice Address - Street 1:12980 TEN OAK WAY
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-4421
Practice Address - Country:US
Practice Address - Phone:408-464-5741
Practice Address - Fax:650-631-2448
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG34166207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G341661Medicare PIN
A45811Medicare UPIN
010042380Medicare PIN
CA00G341660Medicare PIN
CAAX462ZMedicare PIN