Healthcare Provider Details

I. General information

NPI: 1629182415
Provider Name (Legal Business Name): MR. ARKARY SHUSTERMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2424 CLEMENT ST
SAN FRANCISCO CA
94121
US

IV. Provider business mailing address

1808 EASTON DR
BURLINGAME CA
94010
US

V. Phone/Fax

Practice location:
  • Phone: 415-752-9448
  • Fax: 415-952-3364
Mailing address:
  • Phone: 650-344-2021
  • Fax: 650-344-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA40650
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA40650
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: