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General NPI Number Information
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NPI Number | 1649833005
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Entity Type | Individual
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Provider Name | MICHAEL MAIN MD
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Gender | Male
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Dates
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Enumeration Date | 04/20/2019
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Last Update Date | 10/13/2024
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Provider Practice Location Address
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Address Line | 45 CASTRO ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1010
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Country | US
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Telephone | 702-882-5285
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BUCHANAN ST UNIT 605
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City | SAN FRANCISCO
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State | CA
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Zip | 94102-6296
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Country | US
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Telephone | 702-882-5285
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | A178576
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License Number State | CA
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