Provider Demographics
NPI:1447298955
Name:ADROUNY, ADOUR RICHARD (MD)
Entity type:Individual
Prefix:
First Name:ADOUR
Middle Name:RICHARD
Last Name:ADROUNY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2998 S BASCOM AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95124-1467
Mailing Address - Country:US
Mailing Address - Phone:408-356-1911
Mailing Address - Fax:408-356-4477
Practice Address - Street 1:2998 S BASCOM AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-1467
Practice Address - Country:US
Practice Address - Phone:408-356-1911
Practice Address - Fax:408-356-4477
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA34013207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA27330Medicare UPIN
CA00A340130Medicare ID - Type Unspecified