Basic Information
Provider Information
NPI: 1952337461
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EMON
FirstName: NORA
MiddleName: Z.
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 275 W MACARTHUR
Address2:  
City: OAKLAND
State: CA
PostalCode: 946115641
CountryCode: US
TelephoneNumber: 5107521000
FaxNumber: 5107521190
Practice Location
Address1: 275 W MACARTHUR
Address2:  
City: OAKLAND
State: CA
PostalCode: 946115641
CountryCode: US
TelephoneNumber: 5107521000
FaxNumber: 5107527591
Other Information
ProviderEnumerationDate: 06/25/2006
LastUpdateDate: 02/11/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XA070729CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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