Provider Demographics
NPI:1831130673
Name:KIND, GABRIEL MATTHEW (MD)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:MATTHEW
Last Name:KIND
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 1:45 CASTRO ST
Mailing Address - Street 2:MEDICAL OFFICE BUILDING #410
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1010
Mailing Address - Country:US
Mailing Address - Phone:415-565-6884
Mailing Address - Fax:415-600-6886
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:MEDICAL OFFICE BUILDING #410
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1010
Practice Address - Country:US
Practice Address - Phone:415-565-6884
Practice Address - Fax:415-600-6886
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG78603174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist