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General NPI Number Information
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NPI Number | 1720541147
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Entity Type | Individual
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Provider Name | GREGGORY GAHN MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2019
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 950 RYLAND ST
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City | RENO
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State | NV
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Zip | 89502-1605
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Country | US
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Telephone | 757-329-0286
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Fax |
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Provider Business Mailing Address
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Address Line | 655 N ALVERNON WAY STE 204
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City | TUCSON
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State | AZ
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Zip | 85711-1825
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Country | US
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Telephone | 520-626-2010
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Fax | 520-626-2042
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 23736
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License Number State | NV
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