National Provider Identifier Database

NIV E DECALO, MD – NPI #1053511667
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

NIV E DECALO, MD
225 N JACKSON AVE
SAN JOSE, CA95116
Phone: 408-259-5000
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for NIV E DECALO

NPI Number 1053511667
Credentials MD
Entity Individual
Enumeration date 07/21/2007
Last updated 03/29/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: A120987
  • CT Medicaid: 1053511667
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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