Provider Demographics
NPI:1386865731
Name:NO, GRACE JANE (MD)
Entity Type:Individual
Prefix:DR
First Name:GRACE
Middle Name:JANE
Last Name:NO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:175 N JACKSON AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1909
Mailing Address - Country:US
Mailing Address - Phone:408-272-1600
Mailing Address - Fax:
Practice Address - Street 1:175 N. JACKSON AVE.
Practice Address - Street 2:STE 103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116
Practice Address - Country:US
Practice Address - Phone:408-272-1600
Practice Address - Fax:408-604-0173
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110324207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology