Healthcare Provider Details

I. General information

NPI: 1275765505
Provider Name (Legal Business Name): YASSER S. EL-SHEIKH MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2009
Last Update Date: 08/20/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 CASTRO ST SUITE 121
SAN FRANCISCO CA
94114-1022
US

IV. Provider business mailing address

45 CASTRO ST SUITE 121
SAN FRANCISCO CA
94114-1022
US

V. Phone/Fax

Practice location:
  • Phone: 415-565-6136
  • Fax: 415-864-1654
Mailing address:
  • Phone: 415-565-6136
  • Fax: 415-864-1654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA109199
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: