MEDICARE: INESSA SVIDLER M.D.

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	207R00000X	Internal Medicine Physician	A056364	CA

General Provider Information

NPI Number	:	1215955919
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	INESSA SVIDLER M.D.

Provider Business Mailing Address
First Line	:	2299 POST ST STE 203
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3473
Country	:	US
Telephone Number	:	415-346-4199
Fax Number	:	415-931-6718

Provider Business Practice Location Address
First Line	:	2320 SUTTER ST
Second Line	:	#203
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3038
Country	:	US
Telephone Number	:	415-346-4199
Fax Number	:	415-931-6718

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	08/30/2023

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