Provider Demographics
NPI:1740343565
Name:HOWE, DONALD (MD)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:
Last Name:HOWE
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 1:1120 LAKEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-4677
Mailing Address - Country:US
Mailing Address - Phone:209-544-8310
Mailing Address - Fax:
Practice Address - Street 1:1851 COLORADO AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2716
Practice Address - Country:US
Practice Address - Phone:209-667-1630
Practice Address - Fax:209-667-2070
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG35155207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA46234Medicare UPIN
CA00G351550Medicare ID - Type Unspecified