Provider Demographics
NPI:1598993248
Name:BROWN, IAN ELLIOTT (MD/PHD)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:ELLIOTT
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD/PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 STOCKTON BLVD., DEPARTMENT OF SURGERY
Mailing Address - Street 2:NAOB, SUITE 5104
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-734-1279
Mailing Address - Fax:916-734-7755
Practice Address - Street 1:2315 STOCKTON BLVD. - DEPARTMENT OF SURGERY
Practice Address - Street 2:NAOB SUITE 5006
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:415-476-1239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1086712086S0102X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care