Provider Demographics
NPI:1871814467
Name:GILBERT, KATHERINE CLEVELAND (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:CLEVELAND
Last Name:GILBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3010 COLBY ST
Mailing Address - Street 2:SUITE 221
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2091
Mailing Address - Country:US
Mailing Address - Phone:510-644-2316
Mailing Address - Fax:510-704-8346
Practice Address - Street 1:3010 COLBY ST STE 118
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2059
Practice Address - Country:US
Practice Address - Phone:510-644-2316
Practice Address - Fax:510-704-8346
Is Sole Proprietor?:No
Enumeration Date:2010-06-17
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137465207KA0200X
CA137465207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy