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NPI Code Detail

MEDICARE: SARAH DAWN BLASCHKO MD

MEDICARE: SARAH DAWN BLASCHKO MD
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
1208800000XUrology PhysicianA106121CA

General Provider Information

NPI Number : 1376781286
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH DAWN BLASCHKO MD
Provider Business Mailing Address
First Line : 400 PARNASSUS AVE, A633
Second Line : UCSF DEPARTMENT OF UROLOGY
City : SAN FRANCISCO
State : CA
Zip : 94143-0738
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1411 E 31ST ST # 22134
Second Line :
City : OAKLAND
State : CA
Zip : 94602-1092
Country : US
Telephone Number : 510-437-4401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2009
Last Update Date : 04/13/2020

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