Healthcare Provider Details

I. General information

NPI: 1538336482
Provider Name (Legal Business Name): NISHA H GIDWANI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2330 POST ST STE 420
SAN FRANCISCO CA
94115-3466
US

IV. Provider business mailing address

2330 POST ST STE 420
SAN FRANCISCO CA
94115-3466
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7755
  • Fax: 415-885-3852
Mailing address:
  • Phone: 415-885-7755
  • Fax: 415-885-3852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberA106996
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberA106996
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: