National Provider Identifier Database

ANTHONY K GORDON, MD – NPI #1912968041
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

ANTHONY K GORDON, MD
165 ROWLAND WAY STE 208
NOVATO, CA94945
Phone: 415-429-4225
Fax: 415-202-6228
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X
Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for ANTHONY K GORDON

NPI Number 1912968041
Credentials MD
Entity Individual
Enumeration date 03/29/2006
Last updated 05/08/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CA License #: G59522
  • GA License #: 031432
  • GA Medicaid: 000449765AA
  • GA Other: 202I300099 MEDICARE PROVIDER FOR OMRIB
Hospital affiliation n/a

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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