Provider Demographics
NPI:1497784169
Name:GALEN, DONALD I (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:I
Last Name:GALEN
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 1:13 HOMESTEAD COURT
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94506
Mailing Address - Country:US
Mailing Address - Phone:925-736-1992
Mailing Address - Fax:925-736-7867
Practice Address - Street 1:13 HOMESTEAD COURT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94506
Practice Address - Country:US
Practice Address - Phone:925-736-1992
Practice Address - Fax:925-736-7867
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG17571207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A40115Medicare UPIN