Provider Demographics
NPI:1619985025
Name:GOULD, MURRAY JOSEPH (MD)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:JOSEPH
Last Name:GOULD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19845 LAKE CHABOT RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-4055
Mailing Address - Country:US
Mailing Address - Phone:510-881-5203
Mailing Address - Fax:510-881-5180
Practice Address - Street 1:19845 LAKE CHABOT RD
Practice Address - Street 2:SUITE 301
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-4055
Practice Address - Country:US
Practice Address - Phone:510-881-5203
Practice Address - Fax:510-881-5180
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC284530207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0041590Medicaid
CAA33638Medicare UPIN
CAGR0041590Medicaid