Kenneth Donald Hirsch, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Alamo, CA
NPI 1811230592 · NPPES record last updated Apr 1, 2013
Key facts
- NPI
- 1811230592
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- C30148 (CA)
- Practice address
- 25 Tam O Shanter Rd
Alamo, CA 94507-1737 - Phone
- (925) 820-2093
- NPI assigned
- Apr 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C30148 | CA | MD | Anatomic Pathology & Clinical Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | C30148 | CA | Yes |
Addresses
Primary practice location
25 Tam O Shanter Rd
Alamo, CA 94507-1737
Mailing address
25 Tam O Shanter Rd
Alamo, CA 94507-1737
Phone (925) 820-2093
Other providers in Alamo, CA
- Louis J. Giorgi
- Julie A Goo
- Oanh Hoang Ha
- Healtharc Care, P.C.
- Brittany C Hillis
- Philip Stanley Hitchcock III
- Patricia Ann Holcomb
- Kimberly Megan Hong
- Seyed Amir M Hosseini
- John T. Husokowski
All providers in Alamo, CA · Anatomic Pathology & Clinical Pathology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.