Mouratoff, John G
Mouratoff, John G is an individual health care provider with primary practice located at 2905 Telegraph Ave , Berkeley CA 94705-2063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mouratoff, John G can be contacted via phone (510) 841-0411.Contact Information
Primary practice address
2905 Telegraph Ave
Berkeley CA 94705-2063
Phone: (510) 841-0411
Fax: (510) 845-5030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | G81438 | California |
Profile Details
| NPI number | 1538266218 |
|---|---|
| LBN Legal business name | Mouratoff, John G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 17th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1538266218 | NPPES |
| California | MEDICAID | 00G81438 |
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