Carol Joy Provan
Pediatrics | Female
Carol Joy Provan is a Redwood City, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Carol Joy Provan is
2710 Middlefield Rd, Redwood City, California - 94063-3404. She can be contacted on phone at
650-573-2222.
Carol Joy Provan is a sole proprietor of her business.
NPI number (Unique professional ID) for Carol Joy Provan is
1780736041 which was assigned by NPPES on 17 Jan, 2007 and it was last updated on 08 Jul, 2007.
Carol Joy Provan license number is
A25599 for Pediatrics (208000000X) in California.
Carol Joy Provan is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Carol Joy Provan basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Carol Joy Provan |
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| Gender : | Female |
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Business Address:
Carol Joy Provan address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2710 Middlefield Rd
Redwood City, CA, 94063-3404
United States |
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| Phone Number : | 650-573-2222 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1780736041 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 17 Jan, 2007 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carol Joy Provan are as mentioned. Primary taxonomy code for Carol Joy Provan is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A25599 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Carol Joy Provan such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A255990 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2710 Middlefield Rd, Fair Oaks Childrens Clinic
Redwood City, CA, 94063
United States |
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| Phone Number : | 650-573-2222 |
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Business Location:
Patients can refer following map for directions to
Carol Joy Provan practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.