Provider Demographics
NPI:1124044458
Name:GASKINS, SARAH AOI (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:AOI
Last Name:GASKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1642 E CAPITOL EXPY
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1800
Mailing Address - Country:US
Mailing Address - Phone:408-270-0112
Mailing Address - Fax:408-270-3386
Practice Address - Street 1:1642 E CAPITOL EXPY
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1800
Practice Address - Country:US
Practice Address - Phone:408-270-0112
Practice Address - Fax:408-270-3386
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA550642084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G49686Medicare UPIN