Healthcare Provider Details

I. General information

NPI: 1003970773
Provider Name (Legal Business Name): MONA E ORADY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 09/13/2023
Certification Date: 09/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1199 BUSH ST STE 500
SAN FRANCISCO CA
94109-5976
US

IV. Provider business mailing address

6680 ALHAMBRA AVE UNIT 436
MARTINEZ CA
94553-6105
US

V. Phone/Fax

Practice location:
  • Phone: 415-500-8133
  • Fax: 650-649-5572
Mailing address:
  • Phone: 415-500-8133
  • Fax: 650-649-5572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberA96316
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA96316
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: