MEDICARE: AVRAHAM GIANNINI 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
1	207K00000X	Allergy & Immunology Physician	A23685	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	031912031	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	A23685	OTHER	CA	WORKERS COMP
4	00A236850	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1144241399
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AVRAHAM GIANNINI MD

Provider Business Mailing Address
First Line	:	909 HYDE ST
Second Line	:	STE 633
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-4822
Country	:	US
Telephone Number	:	415-346-8022
Fax Number	:

Provider Business Practice Location Address
First Line	:	909 HYDE ST
Second Line	:	STE 633
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-4822
Country	:	US
Telephone Number	:	415-346-8022
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	AVRAHAM GIANNINI
Credential	:
Telephone Number	:	415-346-8022

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	05/27/2008

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Directions to “AVRAHAM GIANNINI MD ” Practice Location

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