Individual
DR. THOMAS A. PORTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PARNASSUS AVE., 3RD FLOOR, SAN FRANCISCO, CA 94143-0001
(415) 353-2873
(415) 476-1020
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G30411
CA
207RC0000X
Cardiovascular Disease Physician
G30411
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
G30411
CA
207RI0011X
Interventional Cardiology Physician
Primary
30411
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G304110
—
CA
Enumeration date
06/07/2006
Last updated
03/01/2017
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