Healthcare Provider Details

I. General information

NPI: 1376868414
Provider Name (Legal Business Name): AYLIN SELEK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 PARNASSUS AVE B1, PLAZA LEVEL
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

400 PARNASSUS AVE B1, PLAZA LEVEL
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-2172
  • Fax:
Mailing address:
  • Phone: 415-476-2172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA116298
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License Number54252
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: