Individual
DR. IRINA KHIDEKEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3635 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1701
(415) 752-0277
(415) 752-5333
Mailing address
3635 CALIFORNIA ST, SAN FRANCISCO, CA 94118-1701
(415) 752-0277
(415) 752-5333
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A51703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A517030
—
CA
Enumeration date
09/28/2006
Last updated
07/08/2007
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