Provider Demographics
NPI:1972585859
Name:MIN, HOWARD K (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:K
Last Name:MIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2485 HIGH SCHOOL AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1819
Practice Address - Country:US
Practice Address - Phone:925-671-0610
Practice Address - Fax:925-671-0878
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2016-04-18
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Provider Licenses
StateLicense IDTaxonomies
CA072418207RC0000X
CAA72418207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA189418Medicare PIN
CAH41878Medicare UPIN