Doctor Name: | DR. AKIBA EDO GREEN |
NPI Number: | 1144422056 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 20A9667 |
Business Practice Address: | 3201 S St 188 Sacramento, CA - 958167078 |
Business Phone Number: | 8065709679 |
Business Fax Number: | 9164769801 |
Mailing Address: | Po Box 162031, SACRAMENTO |
State: | CA |
Postal Code: | 958162031 |
Phone Number: | 8065709679 |
Fax Number: | 9164769801 |
NPI Enumeration Date: | 06/03/2007 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 20A9667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |