Healthcare Provider Details

I. General information

NPI: 1619155900
Provider Name (Legal Business Name): RAMI JOHN TURK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2008
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 MONTECILLO RD DEPARTMENT OF CARDIOLOGY
SAN RAFAEL CA
94903-3308
US

IV. Provider business mailing address

99 MONTECILLO RD DEPARTMENT OF CARDIOLOGY
SAN RAFAEL CA
94903-3308
US

V. Phone/Fax

Practice location:
  • Phone: 415-444-4620
  • Fax: 707-331-1275
Mailing address:
  • Phone: 415-444-4620
  • Fax: 707-331-1275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA91879
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number175228
License Number StateMT
# 3
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberA91879
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: