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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 Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for ANTHONY K GORDON · (Male)

NPI # 1912968041
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2006
Last updated 05/08/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G59522
  • GA License # 031432
  • GA Medicaid 000449765AA
  • GA Other 202I300099 MEDICARE PROVIDER FOR OMRIB
Hospital affiliation(s)
  • NOVATO COMMUNITY HOSPITAL - (Acute Care)
    180 ROWLAND WAY
    NOVATO, CA 94945
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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