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Contact Information

GARY CONRAD, MD
625 S FAIR OAKS AVE
SUITE 215
PASADENA, CA91105-2613
 Phone: 626-793-4139
 Fax: 626-304-8280
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Hypertension Specialist

207RH0005X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GARY CONRAD · (Male)

NPI Number 1669424271
Status Active
Credentials MD
Entity Individual
Enumeration date 05/16/2006
Last updated 02/26/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A58771
  • CA License # C37034
  • CA Medicaid 00C370340
  • CA Other W2223 PTAN MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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