Davern, Timothy J.

Davern, Timothy J. is an individual health care provider with primary practice located at 1100 Van Ness Ave , San Francisco CA 94109-6978. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is his primary health care specialty. Davern, Timothy J. can be contacted via phone (415) 600-1000.

Contact Information

Primary practice address
1100 Van Ness Ave San Francisco CA 94109-6978
Phone: (415) 600-1000
Fax: (415) 558-7051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G79521 California
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X G79521 California
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X 27766 California

Profile Details

NPI number 1699723379
LBN Legal business name Davern, Timothy J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 16th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699723379 NPPES
California MEDICAID 0G7952100
California Other G79521

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