Provider Demographics
NPI:1770547028
Name:NOALL, RHODA
Entity type:Individual
Prefix:DR
First Name:RHODA
Middle Name:
Last Name:NOALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:393 E GRAND AVE
Mailing Address - Street 2:SUITE I
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-6233
Mailing Address - Country:US
Mailing Address - Phone:650-616-2947
Mailing Address - Fax:650-737-8920
Practice Address - Street 1:393 E GRAND AVE
Practice Address - Street 2:SUITE I
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-6233
Practice Address - Country:US
Practice Address - Phone:650-616-2947
Practice Address - Fax:650-737-8920
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00045948207ZB0001X, 207ZP0102X
CAC40237207ZP0102X, 207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine