Masek, Theodore D.

Masek, Theodore D. is an individual health care provider with primary practice located at 77840 Flora Rd , Palm Desert CA 92211-4109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Masek, Theodore D. can be contacted via phone (760) 200-8777.

Contact Information

Primary practice address
77840 Flora Rd Palm Desert CA 92211-4109
Phone: (760) 200-8777
Fax: (760) 200-8877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A39531 California

Profile Details

NPI number 1720073935
LBN Legal business name Masek, Theodore D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Aug 7th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720073935 NPPES
California Other P00253432 RAILROAD MEDICARE
California MEDICAID 00A395310 RAILROAD MEDICARE

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