1710955364

Everything you always wanted to know about SIU K.Q. ALBERT M.D. but were afraid to ask.

SIU K.Q. ALBERT M.D.

You can also download the this 1710955364 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
SIU K.Q. ALBERT M.D.
Gender:
Male
Enumeration date:
2006-03-09
Last update date:
2016-11-23
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
Yes
Search for ALBERT, SIU in
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Identifiers

identifier description issuer state
E90085 Medicare UPIN none CA
BO964 Other MEDICARE PTAN CA
220020692 Other RAILROAD MEDICARE NO CA
LAB09388F Medicaid none CA

Taxonomies

Taxonomy State License Number Primary?
207ZP0102X Anatomic Pathology & Clinical Pathology CA C42209 Y
207ZC0500X Cytopathology CA C42209 N
207ZD0900X Dermatopathology CA C42209 N
207ZH0000X Hematology CA C42209 N
207ZI0100X Immunopathology CA C42209 N
207ZP0105X Clinical Pathology/Laboratory Medicine CA C42209 N
207ZP0213X Pediatric Pathology CA C42209 N
207ZB0001X Blood Banking & Transfusion Medicine CA C42209 N
207ZP0104X Chemical Pathology CA C42209 N
207ZM0300X Medical Microbiology CA C42209 N
207ZN0500X Neuropathology CA C42209 N

Phone Numbers

Type Number
Mailing Address Telephone Number 2095771200
Practice Location Address Telephone Number 2095771200
Mailing Address Fax Number 2095776517
Practice Location Address Fax Number 2095776517

Addresses

Type Address City State Postal Country
Mailing Address 2625 COFFEE RD STE S MODESTO CA 95355 CA
Practice Location Address 2625 COFFEE RD STE S MODESTO CA 95355 CA

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1932581824 GARCHOW, KENDRA
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1942206123 BAIER, RICK
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1134391345 STRONG, CURTIS
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1174765721 BUONACCORSI, JANEEN
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1316943889 PURVIS, ROBERT
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1386050177 SORRELL, AMANDA
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1427375625 FREEMAN, KALI
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