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ANTONIA MAITLAND CHARLES MD NPI 1063481695


NPI Information

NPI: 1063481695
Provider Name: ANTONIA MAITLAND CHARLES, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
1993 MCKEE RD
EVC PEDIATRICS CLINIC
SAN JOSE, CA
ZIP 95116
Phone: (408) 885-5000
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Antonia Maitland Charles, MD is a pediatrics in San Jose, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Antonia Maitland Charles, MD NPI is 1063481695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1993 MCKEE RD
EVC PEDIATRICS CLINIC
SAN JOSE, CA
ZIP 95116-406
Phone: (408) 885-5000

The enumeration date for this NPI number is 3/16/2006 and was last updated on 9/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA66380CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A66380MEDICARE PINCALIFORNIA
2H16620MEDICARE UPINCALIFORNIA
300A663800MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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