Provider Demographics
NPI:1942863048
Name:BROWN, ISAIAH D (MD, MS)
Entity Type:Individual
Prefix:
First Name:ISAIAH
Middle Name:D
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2315 STOCKTON BLVD DEPT OF
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-2201
Mailing Address - Country:US
Mailing Address - Phone:916-703-2108
Mailing Address - Fax:916-734-8490
Practice Address - Street 1:2315 STOCKTON BLVD DEPT OF
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-2201
Practice Address - Country:US
Practice Address - Phone:916-703-2108
Practice Address - Fax:916-734-8490
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-16
Last Update Date:2020-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program