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Organization
RENAL MEDICAL ASSOCIATES
Active
Organization
RENAL MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F BORAH MD (PRESIDENT)
(415) 923-3456
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST STE 320, SAN FRANCISCO, CA 94115-2377
(415) 923-3456
(415) 923-3121
Mailing address
2100 WEBSTER ST STE 320, SAN FRANCISCO, CA 94115-2377
(415) 923-3456
(415) 923-3121
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A517650
STATE LICENSE
CA
05
—
00A517650
—
CA
01
—
00A517651
MEDICARE INDIVIDUAL PTAN
CA
05
—
00A521550
—
CA
01
—
00A521551
MEDICARE INDIVIDUAL PTAN
CA
01
—
00A997520
MEDICARE INDIVIDUAL PTAN
CA
05
—
00A997520
—
CA
01
—
00G203560
STATE LICENSE
CA
05
—
00G203560
—
CA
01
—
00G203562
MEDICARE INDIVIDUAL PTAN
CA
01
—
00G623550
STATE LICENSE
CA
05
—
00G623551
—
CA
01
—
00G623554
MEDICARE INDIVIDUAL PTAN
CA
01
—
A52155
LICENSE
CA
01
—
ZZZ19839Z
MEDICARE GROUP PTAN
CA
Enumeration date
09/21/2006
Last updated
11/30/2023
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