Provider Demographics
NPI:1134136989
Name:MAY, SEAN S (MD)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:S
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 B ST
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-5067
Mailing Address - Country:US
Mailing Address - Phone:530-749-3650
Mailing Address - Fax:530-749-3651
Practice Address - Street 1:550 B ST
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-5067
Practice Address - Country:US
Practice Address - Phone:530-749-3650
Practice Address - Fax:530-749-3651
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38522207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A385220Medicaid
C69516Medicare UPIN
CA00A385220Medicaid