Provider Demographics
NPI:1376948968
Name:GERALD MYINT MD INC
Entity Type:Organization
Organization Name:GERALD MYINT MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:HLA
Authorized Official - Last Name:MYINT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-565-8050
Mailing Address - Street 1:34287 PINNACLES DR
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94587-3657
Mailing Address - Country:US
Mailing Address - Phone:510-565-8050
Mailing Address - Fax:510-894-4796
Practice Address - Street 1:27206 CALAROGA AVE STE 201
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-4300
Practice Address - Country:US
Practice Address - Phone:510-565-8050
Practice Address - Fax:510-894-4796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-26
Last Update Date:2014-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA96837207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty