Healthcare Provider Details

I. General information

NPI: 1851358519
Provider Name (Legal Business Name): SYLVESTRE G QUEVEDO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: SYLVER QUEVEDO MD

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 06/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UCSF OSHER CENTER 1545 DIVISADERO 4TH FLOOR
SAN FRANCISCO CA
94115
US

IV. Provider business mailing address

1492 STAR HILL RD
WOODSIDE CA
94062-4722
US

V. Phone/Fax

Practice location:
  • Phone: 415-353-7700
  • Fax: 415-353-7358
Mailing address:
  • Phone: 408-781-1776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberG42355
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG42355
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: