| Dr Gerrit V Henry, D,IO | |
|
9460 N Name Uno Ste 210, Gilroy, CA 95020-3532 | |
| (408) 847-0888 | |
| (408) 847-1257 |
| Full Name | Dr Gerrit V Henry |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Location | 9460 N Name Uno Ste 210, Gilroy, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194781294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 12356 (California) | Primary |
| Entity Name | Csi Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871909804 PECOS PAC ID: 5890916845 Enrollment ID: O20141016001930 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gerrit V Henry, D,IO 8712 N 68th St, Paradise Valley, AZ 85253-2703 Ph: (480) 329-6966 | Dr Gerrit V Henry, D,IO 9460 N Name Uno Ste 210, Gilroy, CA 95020-3532 Ph: (408) 847-0888 |
Dr. Clayton Lee Schiltz, D.O. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7888 Wren Ave Ste A110, Gilroy, CA 95020 Phone: 408-713-2600 Fax: 408-713-2601 | |
Stephen T. Sesody, DO Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7520 Arroyo Cir, Gilroy, CA 95020 Phone: 408-848-4600 | |
Clifford Hsieh, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 7520 Arroyo Cir, Gilroy, CA 95020 Phone: 408-848-7040 | |
Swapna C Reddy, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9460 N Name Uno Ste 210, Gilroy, CA 95020 Phone: 408-847-0888 Fax: 408-847-1257 | |
Dr. Kent Steven Carson, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 9460 N Name Uno Ste 210, Gilroy, CA 95020 Phone: 408-847-0888 Fax: 408-847-1257 |