Provider Demographics
NPI:1417981192
Name:CHOW, WILLIAM C (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:C
Last Name:CHOW
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BEALE ST
Mailing Address - Street 2:PH 1B
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-5025
Mailing Address - Country:US
Mailing Address - Phone:510-895-0510
Mailing Address - Fax:
Practice Address - Street 1:3120 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3421
Practice Address - Country:US
Practice Address - Phone:510-681-8587
Practice Address - Fax:888-939-4229
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4862174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A4862OtherLICENSE
CA20A4862OtherLICENSE