Provider Demographics
NPI:1679839245
Name:VAN ARNAM, JOHN SIMON (MD MA)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SIMON
Last Name:VAN ARNAM
Suffix:
Gender:M
Credentials:MD MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:699 GRAND COULEE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-4359
Mailing Address - Country:US
Mailing Address - Phone:650-862-8197
Mailing Address - Fax:
Practice Address - Street 1:699 GRAND COULEE AVE APT 1
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-4359
Practice Address - Country:US
Practice Address - Phone:650-862-8197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-08
Last Update Date:2012-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program