Provider Demographics
NPI:1356481360
Name:A WOMAN FOR WOMEN MEDICAL GROUP INC
Entity Type:Organization
Organization Name:A WOMAN FOR WOMEN MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUMNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:THANAPATHY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-847-4200
Mailing Address - Street 1:9460 NO NAME UNO
Mailing Address - Street 2:#245
Mailing Address - City:GILROY
Mailing Address - State:CA
Mailing Address - Zip Code:95020
Mailing Address - Country:US
Mailing Address - Phone:408-847-4200
Mailing Address - Fax:408-847-1399
Practice Address - Street 1:9460 NO NAME UNO
Practice Address - Street 2:#245
Practice Address - City:GILROY
Practice Address - State:CA
Practice Address - Zip Code:95020
Practice Address - Country:US
Practice Address - Phone:408-847-4200
Practice Address - Fax:408-847-1499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE77962Medicare UPIN
CA00A348310Medicare ID - Type Unspecified