Provider Demographics
NPI:1609920727
Name:DAH, NAJU M (MD)
Entity Type:Individual
Prefix:DR
First Name:NAJU
Middle Name:M
Last Name:DAH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2800 N CALIFORNIA ST
Mailing Address - Street 2:SUITE #17
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95204-3757
Mailing Address - Country:US
Mailing Address - Phone:209-466-5888
Mailing Address - Fax:209-466-1589
Practice Address - Street 1:2800 N CALIFORNIA ST
Practice Address - Street 2:SUITE #17
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95204-3757
Practice Address - Country:US
Practice Address - Phone:209-466-5888
Practice Address - Fax:209-466-1589
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA31448207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A314480Medicaid
CA00A314480Medicaid
CA00A314480Medicaid
A26486Medicare UPIN