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Contact Information

RICHARD J KERBAVAZ, MD
2316 DWIGHT WAY
BERKELEY, CA94704
 Phone: 510-845-4500
 Fax: 510-845-0360
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICHARD J KERBAVAZ · (Male)

NPI # 1861428930
Status Active
Credentials MD
Entity Individual
Enumeration date 06/23/2006
Last updated 10/20/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G432250
  • CA Medicaid 00G432250
  • CA Other G43225 STATE LICENSE
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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