Healthcare Provider Details

I. General information

NPI: 1881626687
Provider Name (Legal Business Name): KEVIN B KNOPF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 12/31/2024
Certification Date: 12/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 DWIGHT WAY
BERKELEY CA
94704-2608
US

IV. Provider business mailing address

3838 CALIFORNIA STREET SUITE 707
SAN FRANCISCO CA
94118
US

V. Phone/Fax

Practice location:
  • Phone: 510-204-1591
  • Fax:
Mailing address:
  • Phone: 415-668-0160
  • Fax: 415-752-4635

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0051301
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: