Provider Demographics
NPI:1700965837
Name:GRAY, GIA M (MD)
Entity Type:Individual
Prefix:
First Name:GIA
Middle Name:M
Last Name:GRAY
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:5925 W LAS POSITAS BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8537
Mailing Address - Country:US
Mailing Address - Phone:925-201-6011
Mailing Address - Fax:925-417-1503
Practice Address - Street 1:5925 W LAS POSITAS BLVD STE 100
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-201-6011
Practice Address - Fax:925-417-1503
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2019-04-02
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Provider Licenses
StateLicense IDTaxonomies
CAA96751207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1700965837OtherNPI