Provider Demographics
NPI:1700859246
Name:MORROW, LINDA A (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:A
Last Name:MORROW
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 HURLEY WAY
Mailing Address - Street 2:475
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3215
Mailing Address - Country:US
Mailing Address - Phone:916-561-6818
Mailing Address - Fax:916-561-4263
Practice Address - Street 1:5301 F ST
Practice Address - Street 2:117
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3226
Practice Address - Country:US
Practice Address - Phone:916-733-1788
Practice Address - Fax:916-733-1787
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79092207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G790920Medicaid
CA00G790920Medicare PIN
CA00G790920Medicaid