Individual
DR. ELIAS H. BOTVINICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2873
(415) 353-8687
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
207R00000X
Internal Medicine Physician
G22161
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G22161
CA
207U00000X
Nuclear Medicine Physician
G22161
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0G2216100
—
CA
Enumeration date
05/02/2006
Last updated
02/16/2016
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