MEDICARE: SAKEEN WALI KASHEM MD, PHD

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	207N00000X	Dermatology Physician	A166653	CA

General Provider Information

NPI Number	:	1518460328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAKEEN WALI KASHEM MD, PHD

Provider Business Mailing Address
First Line	:	1701 DIVISADERO STREET, 3RD FLOOR
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115
Country	:	US
Telephone Number	:	415-353-7800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1701 DIVISADERO ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3011
Country	:	US
Telephone Number	:	415-353-7800
Fax Number	:

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

Provider Enumeration Date	:	03/18/2018
Last Update Date	:	04/09/2026

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