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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326001298 | NPPES |
| California | MEDICAID | 00A700830 |
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