Provider Demographics
NPI:1962820621
Name:HAWKINS, PETER (MD, PHD)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 756
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:94526-0756
Mailing Address - Country:US
Mailing Address - Phone:877-866-0914
Mailing Address - Fax:209-343-3809
Practice Address - Street 1:301 PROFESSIONAL CENTER DR
Practice Address - Street 2:
Practice Address - City:ROHNERT PARK
Practice Address - State:CA
Practice Address - Zip Code:94928-2152
Practice Address - Country:US
Practice Address - Phone:707-584-2200
Practice Address - Fax:707-584-7582
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1618832085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology