Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223S0112X | Oral and Maxillofacial Surgeon | 100045 | CA |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | A154724 | CA |
N | 204E00000X | Oral & Maxillofacial Surgeon | MD189700 | OR |
NPI | 1396997268 |
---|---|
Provider Name | Dr. Akshay Govind |
First Address | Oakland, CA 94602-1018 |
Second Address | Oakland, CA 94602-1018 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/10/2008 |
Last Update Date | 11/09/2020 |