Individual
DR. SHELLEY R. MARDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 OFARRELL ST, SAN FRANCISCO, CA 94115-3357
(415) 833-2000
(415) 353-8570
Mailing address
65 DORANTES AVE, SAN FRANCISCO, CA 94116-1430
(415) 833-6012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G46906
CA
207RR0500X
Rheumatology Physician
Primary
G46906
CA
2085R0202X
Diagnostic Radiology Physician
G46906
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G469060
—
CA
Enumeration date
07/27/2006
Last updated
09/11/2025
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