Individual
GAURAV MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 HAWTHORNE AVE, ROOM 2346, OAKLAND, CA 94609-3108
(510) 204-8373
(510) 869-8375
Mailing address
3687 MT DIABLO BLVD, SUITE 200, LAFAYETTE, CA 94549-3717
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A114878
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A114878
CA
Other
Enumeration date
11/01/2006
Last updated
11/23/2016
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