Gordon, Anthony K

Gordon, Anthony K is an individual health care provider with primary practice located at 165 Rowland Way Ste 208 , Novato CA 94945. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gordon, Anthony K can be contacted via phone (415) 429-4225.

Contact Information

Primary practice address
165 Rowland Way Ste 208 Novato CA 94945
Phone: (415) 429-4225
Fax: (415) 202-6228
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 031432 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G59522 California

Profile Details

NPI number 1912968041
LBN Legal business name Gordon, Anthony K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated May 8th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912968041 NPPES
Georgia MEDICAID 000449765AA
Georgia Other 202I300099

Popular Providers