Healthcare Provider Details

I. General information

NPI: 1124722467
Provider Name (Legal Business Name): KATHERINE GERSHFELD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2356 SUTTER ST
SAN FRANCISCO CA
94115-3006
US

IV. Provider business mailing address

111 BREWSTER ST
PAWTUCKET RI
02860-4400
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7788
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA210244
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberLP06041
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: