Provider Demographics
NPI:1811377062
Name:HOWARD, JOHN HARRISON III (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:HARRISON
Last Name:HOWARD
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:1111 EXPOSITION BLVD STE 300
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95815-4324
Mailing Address - Country:US
Mailing Address - Phone:916-929-8564
Mailing Address - Fax:916-929-4529
Practice Address - Street 1:2218 KAUSEN DR STE 103
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-7178
Practice Address - Country:US
Practice Address - Phone:916-683-8774
Practice Address - Fax:916-683-8777
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2025-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA156404207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty