Organization
RENAL MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL F BORAH MD (PRESIDENT)
(415) 923-3456
Entity
Organization
Contact information
Practice address
2100 WEBSTER ST, STE 405, SAN FRANCISCO, CA 94115-2373
(415) 923-3456
(415) 923-3121
Mailing address
2100 WEBSTER ST, STE 412, SAN FRANCISCO, CA 94115-2373
(415) 923-3815
(415) 749-5713
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A521550
—
CA
05
—
00A997520
—
CA
01
—
1457317729
NPI
CA
01
—
1619040227
NPI
CA
01
—
A52155
STATE LICENSE
CA
01
—
A997520
STATE LICENSE
CA
Enumeration date
06/25/2008
Last updated
06/25/2008
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