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NPI Code Detail

MEDICARE: STEPHANIE S RUSH DO

MEDICARE: STEPHANIE S RUSH DO
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
1207Q00000XFamily Medicine PhysicianDO034894DC
2207Q00000XFamily Medicine PhysicianN3281TX

General Provider Information

NPI Number : 1417115544
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE S RUSH DO
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-520-0904
Provider Business Practice Location Address
First Line : 1827 ADAMS MILL RD NW STE C
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-2399
Country : US
Telephone Number : 202-627-1903
Fax Number : 202-660-0025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2008
Last Update Date : 03/04/2020

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