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Nicholas Gavin, MD
Emergency Medicine Physician in Oakland, California
NPI 1962702274

Nicholas Gavin is a Emergency Medicine Physician based in Oakland, CA. Nicholas Gavin practices in Oakland, CA and has the professional credentials of MD. The NPI Number for Nicholas Gavin is 1962702274 and holds a License No. (California).

The current practice location address for Nicholas Gavin is 1411 E 31St St, Oakland, CA and can be reached out via phone at 510-437-4564.

Location: 1411 E 31St St, Oakland, CA, 94602-1655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962702274
Provider Name
Nicholas Gavin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1411 E 31St St, Oakland, CA, 94602-1655
Phone Number
510-437-4564
Fax Number
Provider Enumeration Date
11/02/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A114742 01 CA CALIFORNIA MEDICAL BOARD, MEDICAL LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-4564
Fax Number
person
Provider Business Mailing Address Details
Address
1411 E 31St St
City
Oakland
State
California
Zip
94602-1018
Phone Number
510-437-4564
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
A114742 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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