MEDICARE: DR. HANNAH ROSE SNYDER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0401X	Addiction Medicine (Internal Medicine) Physician	A138702	CA
2	207Q00000X	Family Medicine Physician	A138702	CA
3	207QA0401X	Addiction Medicine (Family Medicine) Physician	A138702	CA

General Provider Information

NPI Number	:	1356752075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HANNAH ROSE SNYDER M.D.

Provider Business Mailing Address
First Line	:	995 POTRERO AVE
Second Line	:	BLDG 80, WD 83
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2859
Country	:	US
Telephone Number	:	415-206-8611
Fax Number	:	415-206-8387

Provider Business Practice Location Address
First Line	:	995 POTRERO AVE
Second Line	:	BLDG 80, WD 83
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-2859
Country	:	US
Telephone Number	:	415-206-8611
Fax Number	:	415-206-8387

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	04/30/2026

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