Individual
DR. STUART L FELDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G41816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0552498
CLIA
CA
01
—
05D0684380
CLIA
CA
01
—
05D0977537
CLIA
CA
01
—
1851498133
GROUP NPI
CA
05
—
G41816
—
CA
01
—
G59971
LISCENCE
CA
05
—
GROO11581
—
CA
01
—
YYY49655Y
BLUE SHIELD
CA
Enumeration date
04/10/2007
Last updated
09/29/2009
Update your record
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