Individual
PAUL WADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(925) 295-4000
Mailing address
20 BASINSIDE WAY, ALAMEDA, CA 94502-6479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A157786
CA
207RI0200X
Infectious Disease Physician
Primary
A157786
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2017
Last updated
08/05/2022
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