Provider Demographics
NPI:1700088556
Name:A. RICHARD ADROUNY, M.D., INC.
Entity Type:Organization
Organization Name:A. RICHARD ADROUNY, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADOUR
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:ADROUNY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-378-2111
Mailing Address - Street 1:700 W PARR AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1442
Mailing Address - Country:US
Mailing Address - Phone:408-378-2111
Mailing Address - Fax:408-378-4511
Practice Address - Street 1:700 W PARR AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1442
Practice Address - Country:US
Practice Address - Phone:408-378-2111
Practice Address - Fax:408-378-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34013207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A340130Medicare ID - Type Unspecified
CAA27330Medicare UPIN