Individual
IVY A KU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 OFARRELL ST, 4TH FLOOR, SAN FRANCISCO, CA 94115-3357
(415) 833-2616
(415) 833-3857
Mailing address
2200 OFARRELL ST, 4TH FLOOR, SAN FRANCISCO, CA 94115-3357
(415) 833-2616
(415) 833-3857
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A98604
CA
Other
Enumeration date
08/01/2006
Last updated
12/15/2021
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