Healthcare Provider Details

I. General information

NPI: 1295313229
Provider Name (Legal Business Name): DANAI NYASHA CHAGWEDERA MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 18TH ST # PB-5250
SAN FRANCISCO CA
94143-4200
US

IV. Provider business mailing address

401 PARNASSUS AVE
SAN FRANCISCO CA
94143-2211
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-7000
  • Fax: 415-476-7320
Mailing address:
  • Phone: 415-476-7527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA183655
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: