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NPI Code Detail

MEDICARE: AMANDA PATTERSON MD

MEDICARE: AMANDA PATTERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD210001689DC
2207Q00000XFamily Medicine PhysicianS2782TX

General Provider Information

NPI Number : 1124480850
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA PATTERSON MD
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number : 415-252-7176
Provider Business Practice Location Address
First Line : 1827 ADAMS MILL RD NW STE C
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-2399
Country : US
Telephone Number : 888-663-6331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2016
Last Update Date : 01/12/2026

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