Individual
CHAD JAMES GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 BON AIR RD, GREENBRAE, CA 94904-1702
(415) 925-7301
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3418
(415) 883-8082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A71868
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A718680
BLUE SHIELD OF CA
CA
05
—
00A718680
—
CA
01
—
300121754
RAILROAD MEDICARE
CA
Enumeration date
06/12/2006
Last updated
07/26/2010
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