Provider Demographics
NPI:1639146418
Name:LOWE, DARRIN (DPM)
Entity Type:Individual
Prefix:DR
First Name:DARRIN
Middle Name:
Last Name:LOWE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 MACDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805-2244
Mailing Address - Country:US
Mailing Address - Phone:510-234-8355
Mailing Address - Fax:510-234-8358
Practice Address - Street 1:3838 MACDONALD AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2244
Practice Address - Country:US
Practice Address - Phone:510-234-8355
Practice Address - Fax:510-234-8358
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-01
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE2957213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAT11530Medicare UPIN