Gevelber, Mitchell Allen

Gevelber, Mitchell Allen is an individual health care provider with primary practice located at 751 S Bascom Ave Pediatrics Department, San Jose CA 95128-2604. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Adolescent Medicine. Allopathic & Osteopathic Physicians / Adolescent Medicine is his primary health care specialty. Gevelber, Mitchell Allen can be contacted via phone (408) 885-5445.

Contact Information

Primary practice address
751 S Bascom Ave Pediatrics Department San Jose CA 95128-2604
Phone: (408) 885-5445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A70083 California
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X A70083 California

Profile Details

NPI number 1326001298
LBN Legal business name Gevelber, Mitchell Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Oct 5th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326001298 NPPES
California MEDICAID 00A700830

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