Provider Demographics
NPI:1457396277
Name:GALLACHER, GERGANA (MD)
Entity type:Individual
Prefix:
First Name:GERGANA
Middle Name:
Last Name:GALLACHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 SAN RAMON BLVD
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-4077
Mailing Address - Country:US
Mailing Address - Phone:925-820-3376
Mailing Address - Fax:925-820-3307
Practice Address - Street 1:770 SAN RAMON BLVD
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:CA
Practice Address - Zip Code:94526-4407
Practice Address - Country:US
Practice Address - Phone:925-820-3376
Practice Address - Fax:925-820-3307
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76447207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology