Dr. Ann Margaret Petru
Pediatrician Pediatric Infectious Diseases
747 Fifty-Second Street
Oakland
, California 94609-1809
Dr. Ann Margaret Petru
Pediatrician Pediatric Infectious Diseases
747 Fifty-Second Street
Oakland
, California 94609-1809
(510) 601-3957
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About
Features
Specialties
- Pediatrician
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Ann Margaret Petru
- 43 Agnes St
- Oakland, CA
- Zip : 94618-2522
- Fax : (510) 601-3957
- Phone : (510) 428-3337
Second Address
- Dr. Ann Margaret Petru
- 747 Fifty-Second Street
- Oakland, CA
- Zip : 94609-1809
- Fax : (510) 601-3957
- Phone : (510) 428-3337
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | G40627 | CA |
| Y | 2080P0208X | Pediatric Infectious Diseases | G40627 | CA |
National Provider Identifier
| NPI | 1568490878 |
|---|---|
| Provider Name | Dr. Ann Margaret Petru |
| First Address | Oakland, CA 94618-2522 |
| Second Address | Oakland, CA 94609-1809 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/06/2006 |
| Last Update Date | 08/03/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G406270 | (05) | CA |
| 9407418 | (02) | CA |
| AP8917277 | DEA NUMBER (01) | |
| CGP 089750 | CCS PROVIDER NUMBER (01) | CA |
| CGP160130 | CCS CONSULTANT NUMBER (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.