Gordon, Roy L.

Gordon, Roy L. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Gordon, Roy L. can be contacted via phone (415) 353-1300.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Fax: (415) 353-8570
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A45317 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A45317 California

Profile Details

NPI number 1881636876
LBN Legal business name Gordon, Roy L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 15th, 2008 - about 16 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 1881636876 NPPES
California MEDICAID 00A453170

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