Provider Demographics
NPI:1891816146
Name:CARTER OWENS, RENEE NAOMI (MD)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:NAOMI
Last Name:CARTER OWENS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:NAOMI
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3725 WATERMIST WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95835-2712
Mailing Address - Country:US
Mailing Address - Phone:443-421-3208
Mailing Address - Fax:
Practice Address - Street 1:1730 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:DINUBA
Practice Address - State:CA
Practice Address - Zip Code:93618-2812
Practice Address - Country:US
Practice Address - Phone:954-399-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY302874208M00000X, 208M00000X
CAC193830208600000X
PAMT185913208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery