Healthcare Provider Details

I. General information

NPI: 1366445470
Provider Name (Legal Business Name): NATALIE MARSHALL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2005
Last Update Date: 10/12/2020
Certification Date: 10/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 SAN PABLO AVE. SUITE 430
BERKELEY CA
94702
US

IV. Provider business mailing address

3100 SAN PABLO AVE. SUITE 430
BERKELEY CA
94702
US

V. Phone/Fax

Practice location:
  • Phone: 510-420-8000
  • Fax: 510-985-5202
Mailing address:
  • Phone: 510-420-8000
  • Fax: 510-985-5202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number93-322
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: