Mary R Idso, MD - Internal Medicine in San Jose, CA

Mary R Idso, MD is a Internal Medicine physician based in San Jose, California. Mary R Idso is licensed to practice in California (license number G36933) and her current practice location is 260 International Cir, San Jose, California. She can be reached at her office (for appointments etc.) via phone at (408) 972-7000.

NPI number for Mary R Idso is 1851477384 and her current mailing address is 1800 Harrison St Fl 7, Oakland, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1851477384.

Contact Information

Mary R Idso, MD
260 International Cir,
San Jose, CA 95119-1130
(408) 972-7000
Not Available

Map and Direction




Physician's Profile

Full NameMary R Idso
GenderFemale
SpecialityInternal Medicine
Location260 International Cir, San Jose, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1851477384
  • Provider Enumeration Date: 10/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mary R Idso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851477384NPI-NPPES
00G369330MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine G36933 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mary R Idso is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mary R Idso, MD
1800 Harrison St Fl 7,
Oakland, CA 94612-3429

Ph: (510) 625-6262
Mary R Idso, MD
260 International Cir,
San Jose, CA 95119-1130

Ph: (408) 972-7000

Reviews and Comments


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