Organization
RENAL MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F BORAH M.D. (PRESIDENT)
(415) 923-3456
Entity
Organization
Contact information
Practice address
1580 VALENCIA ST, STE 806, SAN FRANCISCO, CA 94110-4423
(415) 647-6660
(415) 647-8339
Mailing address
1580 VALENCIA ST, STE 806, SAN FRANCISCO, CA 94110-4423
(415) 647-6660
(415) 647-8339
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A517650
—
CA
05
—
00A997520
—
CA
05
—
00G623551
—
CA
01
—
1336214634
NPI
CA
01
—
1457317729
NPI
CA
01
—
1891860193
NPI
CA
01
—
A517650
STATE LICENSE
CA
01
—
A997520
STATE LICENSE
CA
01
—
G623550
STATE LICENSE
CA
Enumeration date
06/25/2008
Last updated
06/26/2008
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