MEDICARE: DR. MARY S. GENEVIEVE 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	2084N0400X	Neurology Physician	G84937	CA

General Provider Information

NPI Number	:	1871598706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY S. GENEVIEVE M.D.

Provider Business Mailing Address
First Line	:	2250 HAYES ST STE 206
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-1078
Country	:	US
Telephone Number	:	415-379-6100
Fax Number	:

Provider Business Practice Location Address
First Line	:	2250 HAYES ST STE 206
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-1078
Country	:	US
Telephone Number	:	415-379-6100
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/17/2025

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