Individual
DR. PRATIK MUKHERJEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 353-1537
(415) 353-2871
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
G86473
CA
2085R0202X
Diagnostic Radiology Physician
G86473
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G864730
—
CA
Enumeration date
06/25/2006
Last updated
09/17/2012
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