Healthcare Provider Details

I. General information

NPI: 1508840406
Provider Name (Legal Business Name): URI ARYEH LOPATIN M.D,
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2005
Last Update Date: 02/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1233 HOWARD ST APT 716
SAN FRANCISCO CA
94103-2769
US

IV. Provider business mailing address

1233 HOWARD ST APT 716
SAN FRANCISCO CA
94103-2769
US

V. Phone/Fax

Practice location:
  • Phone: 415-935-1874
  • Fax:
Mailing address:
  • Phone: 415-935-1874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number224048
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: