Doctor Name: | DR. KEITH MICHAEL SPELLMAN |
NPI Number: | 1003056433 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A107892 |
Business Practice Address: | 201 Lyons Ave Newark, NJ - 071122027 |
Business Phone Number: | 9739267960 |
Business Fax Number: | |
Mailing Address: | 148 Beachview Ave, SANTA CRUZ |
State: | CA |
Postal Code: | 950603008 |
Phone Number: | 2155202318 |
Fax Number: | |
NPI Enumeration Date: | 02/25/2009 |
NPI Last Update Date: | 11/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | A107892 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |