Individual
DR. REZA NEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7872 EIGLEBERRY STREET, GILROY, CA 95020
(408) 848-3365
(408) 848-1580
Mailing address
7872 EIGLEBERRY STREET, GILROY, CA 95020
(408) 848-3365
(408) 848-1580
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A40399
CA
208800000X
Urology Physician
Primary
A40399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407910
CIGNA
—
05
—
1901117
—
CA
Enumeration date
10/05/2005
Last updated
10/07/2010
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