Provider Demographics
NPI:1871753731
Name:GATSCHET, HSINJU RUBY (MD)
Entity type:Individual
Prefix:
First Name:HSINJU
Middle Name:RUBY
Last Name:GATSCHET
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:220 STANDIFORD AVE
Mailing Address - Street 2:STE F
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-1159
Mailing Address - Country:US
Mailing Address - Phone:209-579-5628
Mailing Address - Fax:
Practice Address - Street 1:7551 TIMBERLAKE WAY STE 230
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95823-5422
Practice Address - Country:US
Practice Address - Phone:916-347-3630
Practice Address - Fax:916-347-3632
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA0000000208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery