Basic Information
Provider Information
NPI: 1649412768
EntityType: 2
ReplacementNPI:  
OrganizationName: RHONDA C WILLIAMS, M.D.INC.
LastName:  
FirstName:  
MiddleName:  
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Credential:  
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Mailing Information
Address1: PO BOX 179
Address2:  
City: ALAMO
State: CA
PostalCode: 945070179
CountryCode: US
TelephoneNumber: 5102042037
FaxNumber: 9258207996
Practice Location
Address1: 2001 DWIGHT WAY
Address2:  
City: BERKELEY
State: CA
PostalCode: 947042608
CountryCode: US
TelephoneNumber: 5102042037
FaxNumber: 9258207996
Other Information
ProviderEnumerationDate: 04/03/2009
LastUpdateDate: 06/29/2009
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: WILLIAMS
AuthorizedOfficialFirstName: RHONDA
AuthorizedOfficialMiddleName: C
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 9258204335
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2081P0004XG77907CAN193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSpinal Cord Injury Medicine
208100000XG77907CAY193400000X MULTIPLE SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation 

No ID Information.


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