Healthcare Provider Details

I. General information

NPI: 1285298489
Provider Name (Legal Business Name): DR. ASHLEIGH GRAHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2019
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 4TH ST
SAN FRANCISCO CA
94143-2350
US

IV. Provider business mailing address

1825 4TH ST
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-885-7301
  • Fax:
Mailing address:
  • Phone: 415-885-7301
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberA196633
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberA196633
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: