Individual
MICHAEL TANDICK CHARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 FOREST AVE, #106, SAN JOSE, CA 95128-1422
(408) 286-6470
(408) 286-2570
Mailing address
2100 FOREST AVE, #106, SAN JOSE, CA 95128-1422
(408) 286-6470
(408) 286-2570
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G22044
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G220440
—
CA
Enumeration date
11/07/2006
Last updated
12/04/2008
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