MEDICARE: NATALIE MARSHALL 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	207RX0202X	Medical Oncology Physician	93-322	NM

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366445470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MARSHALL M.D.

Provider Business Mailing Address
First Line	:	3100 SAN PABLO AVE.
Second Line	:	SUITE 430
City	:	BERKELEY
State	:	CA
Zip	:	94702
Country	:	US
Telephone Number	:	510-420-8000
Fax Number	:	510-985-5202

Provider Business Practice Location Address
First Line	:	3100 SAN PABLO AVE.
Second Line	:	SUITE 430
City	:	BERKELEY
State	:	CA
Zip	:	94702
Country	:	US
Telephone Number	:	510-420-8000
Fax Number	:	510-985-5202

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/12/2020

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