Dr. Gavin Jeffrey Henderson, M.D., Ph.D.
Pediatrics, Neonatal-Perinatal Medicine in San Francisco, CA. Individual provider (NPI-1).
NPI number1861693533
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1861693533
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gavin Jeffrey Henderson
- Credential
- M.D., Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2007
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | A108340 | CA | Yes |
| 208000000X | Pediatrics | A108340 | CA |
Practice location
533 Parnassus AveU-503, Box 0748
San Francisco, CA 94143-2208
Phone 415-476-1888 · Fax 415-476-9976
Mailing address
533 Parnassus AveU-503, Box 0748
San Francisco, CA 94143-2208
Phone 415-476-1888 · Fax 415-476-9976
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