Healthcare Provider Details

I. General information

NPI: 1871814467
Provider Name (Legal Business Name): KATHERINE CLEVELAND GILBERT M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2010
Last Update Date: 12/02/2024
Certification Date: 12/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3010 COLBY ST STE 118
BERKELEY CA
94705-2059
US

IV. Provider business mailing address

3010 COLBY ST SUITE 221
BERKELEY CA
94705-2091
US

V. Phone/Fax

Practice location:
  • Phone: 510-644-2316
  • Fax: 510-704-8346
Mailing address:
  • Phone: 510-644-2316
  • Fax: 510-704-8346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberA137465
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number137465
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: