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Individual
DR. HOWARD HODIS
Active
Individual
DR. HOWARD HODIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G55699
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G556990
BLUE SHIELD
CA
05
—
00G556990
—
CA
01
—
06E2774
GROUP CHAMPUS
CA
01
—
1356390009
GROUP NPI
CA
01
—
1902846306
GROUP NPI
CA
01
—
CE1617
GROUP RAILROAD MEDICARE
CA
01
—
GR0016910
GROUP MEDICAID
CA
01
—
GR0100430
GROUP MEDICAL
CA
01
—
W11675
GROUP MEDICARE PIN
CA
01
—
W18762
GROUP MEDICARE
CA
01
—
ZZZ50018Z
GROUP BLUE SHIELD
CA
Enumeration date
06/03/2006
Last updated
11/26/2013
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