Provider Demographics
NPI:1700284023
Name:PERKINS, RODNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:
Last Name:PERKINS
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 1:2995 WOODSIDE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WOODSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:94062-2443
Mailing Address - Country:US
Mailing Address - Phone:650-323-0300
Mailing Address - Fax:650-529-0220
Practice Address - Street 1:2995 WOODSIDE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:WOODSIDE
Practice Address - State:CA
Practice Address - Zip Code:94062-2443
Practice Address - Country:US
Practice Address - Phone:650-323-0300
Practice Address - Fax:650-529-0220
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC24414207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology