Individual
DR. SANJEEV ASHOK DATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
505 PARNASSUS AVE, M-680, BOX 0106, SAN FRANCISCO, CA 94143-2204
(415) 476-5153
Mailing address
505 PARNASSUS AVE, M-680, BOX 0106, SAN FRANCISCO, CA 94143-2204
(415) 476-5153
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
A82243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A822430
MEDICAL
CA
Enumeration date
09/14/2006
Last updated
07/08/2007
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