=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225529928
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | HEMALI BATRA-SHARMA MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/29/2018
-----------------------------------------------------
Last Update Date | 07/29/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1825 4TH ST
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94143-2350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-353-7070
-----------------------------------------------------
Fax | 415-353-7692
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 550 16TH STREET BOX 3211
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94143
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-502-1948
-----------------------------------------------------
Fax | 415-353-7779
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RX0202X
-----------------------------------------------------
Taxonomy Name | Medical Oncology Physician
-----------------------------------------------------
License Number | A167126
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------