Individual
DR. MITCHELL LIVERANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3600 BROADWAY FL 2, OAKLAND, CA 94611-5730
(646) 580-8292
Mailing address
3600 BROADWAY FL 2, OAKLAND, CA 94611-5730
(510) 752-1282
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
131186
CA
207RG0100X
Gastroenterology Physician
Primary
131186
CA
Other
Enumeration date
03/19/2011
Last updated
01/04/2022
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