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Contact Information

PETER S UZELAC, MD
1100 S ELISEO DR STE 107
ATTN: JAIMIE VIGIL
GREENBRAE, CA94904-2017
 Phone: 415-925-9404
 Fax: 415-484-7045
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for PETER S UZELAC · (Male)

NPI Number 1356345789
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2005
Last updated 02/05/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A72448
  • IN Medicaid 200878600
  • KY Medicaid 64120736
  • KY Other 000000480316 ANTHEM PSC
  • KY Other 50011332 PASSPORT PCP FOUNDATION
  • KY Other 50011330 PASSPORT SPECIALITY PSC
  • KY Other 50011331 PASSPORT SPECIALITY- FOUNDATION
Hospital affiliation(s) Not Available
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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