Individual
DR. DINAH M BUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1375 SUTTER ST, SAN FRANCISCO, CA 94109-5438
(415) 600-7618
(415) 600-7625
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-7618
(415) 600-7625
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
393126
CA
207RP1001X
Pulmonary Disease Physician
393126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
393126
AMERICAN BOARD OF INTERNAL MEDICINE
CA
01
—
C55517
STATE MEDICAL LICENSE
CA
Enumeration date
09/28/2006
Last updated
06/03/2020
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