Healthcare Provider Details

I. General information

NPI: 1912093626
Provider Name (Legal Business Name): WILLIAM DOUJAN NABER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1375 SUTTER ST 201
SAN FRANCISCO CA
94109-5438
US

IV. Provider business mailing address

1375 SUTTER ST 201
SAN FRANCISCO CA
94109-5438
US

V. Phone/Fax

Practice location:
  • Phone: 415-346-0255
  • Fax: 415-346-2553
Mailing address:
  • Phone: 415-346-0255
  • Fax: 415-346-2553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA41429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: