Individual
DR. SIMA PRABODH PORTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1825 4TH STREET, SAN FRANCISCO, CA 94158
(415) 353-7171
Mailing address
1825 4TH STREET, SAN FRANCISCO, CA 94158
(415) 353-7171
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
XXXXXXXX
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319115701
—
TX
Enumeration date
03/04/2007
Last updated
08/04/2023
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