Individual
PATRICK GAINEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 FLORIDA AVE STE 301, MODESTO, CA 95350
(209) 577-3388
Mailing address
1541 FLORIDA AVE STE 103, MODESTO, CA 95350-4438
(209) 577-3388
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G141832
CA
2084N0400X
Neurology Physician
MA53495
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
455870
AETNA PROVIDER #
NJ
01
—
LS201
OXFORD PROVIDER #
NJ
Enumeration date
06/14/2006
Last updated
01/25/2019
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