Individual
DR. DOUGLAS N. MINIATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-1000
Mailing address
1635 DIVISADERO ST, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94115-3036
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A73233
CA
208600000X
Surgery Physician
Primary
A73233
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A732330
—
CA
Enumeration date
06/20/2006
Last updated
12/15/2021
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