Davern, Timothy J.
Davern, Timothy J. is an individual health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is his primary health care specialty. Davern, Timothy J. can be contacted via phone (415) 600-1000.Contact Information
Primary practice address
1100 Van Ness Ave
San Francisco CA 94109-6978
Phone: (415) 600-1000
Fax: (415) 558-7051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G79521 | California |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G79521 | California |
| Allopathic & Osteopathic Physicians / Transplant Hepatology | 207RT0003X | 27766 | California |
Profile Details
| NPI number | 1699723379 |
|---|---|
| LBN Legal business name | Davern, Timothy J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Nov 16th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699723379 | NPPES |
| California | MEDICAID | 0G7952100 | |
| California | Other | G79521 |
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