Individual
DR. JANELL ALINE ROUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2000
Mailing address
2663 KNOX ST NE, ATLANTA, GA 30317-2831
(303) 808-2766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A95788
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95788
LICENSE NUMBER
CA
Enumeration date
03/09/2007
Last updated
06/06/2012
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