Provider Demographics
NPI:1235207432
Name:WINTERSTEIN, CARL W (MD)
Entity Type:Individual
Prefix:
First Name:CARL
Middle Name:W
Last Name:WINTERSTEIN
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 1:240 LELAND AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1125
Mailing Address - Country:US
Mailing Address - Phone:650-326-6244
Mailing Address - Fax:650-566-9227
Practice Address - Street 1:240 LELAND AVE
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1125
Practice Address - Country:US
Practice Address - Phone:650-326-6244
Practice Address - Fax:650-566-9227
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG24124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A42168Medicare UPIN