Provider Demographics
NPI:1710973623
Name:SPIEGEL, NAUM (MD)
Entity Type:Individual
Prefix:DR
First Name:NAUM
Middle Name:
Last Name:SPIEGEL
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 1:560 WALTEN WAY
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:CA
Mailing Address - Zip Code:95492-8038
Mailing Address - Country:US
Mailing Address - Phone:276-492-9376
Mailing Address - Fax:276-623-0282
Practice Address - Street 1:240 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-4558
Practice Address - Country:US
Practice Address - Phone:707-462-1928
Practice Address - Fax:707-462-8642
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101058458208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA340017850OtherRAILROAD MEDICARE PIN
CAG79559OtherCALIFORNIA MEDICAL LICENSE
TNQ029896Medicaid
VA007500441Medicaid
VA340017850Medicare PIN
VACG8475Medicare PIN