Healthcare Provider Details

I. General information

NPI: 1649412768
Provider Name (Legal Business Name): RHONDA C WILLIAMS, M.D.INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2009
Last Update Date: 06/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 DWIGHT WAY
BERKELEY CA
94704-2608
US

IV. Provider business mailing address

PO BOX 179
ALAMO CA
94507-0179
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-2037
  • Fax: 925-820-7996
Mailing address:
  • Phone: 510-204-2037
  • Fax: 925-820-7996

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG77907
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2081P0004X
TaxonomySpinal Cord Injury Medicine Physician
License NumberG77907
License Number StateCA

VIII. Authorized Official

Name: DR. RHONDA C WILLIAMS
Title or Position: PRESIDENT
Credential: MD
Phone: 925-820-4335