Provider Demographics
NPI:1891703229
Name:HAND, HAROLD E (MD)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:E
Last Name:HAND
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 1:255 E WEBER AVE
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95202-2706
Mailing Address - Country:US
Mailing Address - Phone:209-466-5566
Mailing Address - Fax:209-466-0535
Practice Address - Street 1:1801 E MARCH LN C350
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95210-6674
Practice Address - Country:US
Practice Address - Phone:209-474-2121
Practice Address - Fax:209-474-1181
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC289630207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C289630Medicaid
CA00C289632Medicare PIN
CA00C289630Medicare PIN
CABU659VMedicare PIN
CA00C289630Medicaid
CABU659UMedicare PIN
CABU659WMedicare PIN
CABU659YMedicare PIN
CAA33797Medicare UPIN
CABU659XMedicare PIN