MEDICARE: DR. DAN ALAN KALSHAN 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	207R00000X	Internal Medicine Physician	A77829	CA

General Provider Information

NPI Number	:	1326033200
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAN ALAN KALSHAN MD

Provider Business Mailing Address
First Line	:	220 MONTGOMERY STREET
Second Line	:	SUITE 1212
City	:	SAN FRANCSICO
State	:	CA
Zip	:	94104-3549
Country	:	US
Telephone Number	:	415-433-7000
Fax Number	:	415-434-4509

Provider Business Practice Location Address
First Line	:	220 MONTGOMERY ST
Second Line	:	SUITE 1212
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94104-3402
Country	:	US
Telephone Number	:	415-433-7000
Fax Number	:	415-434-4509

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

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	07/09/2007

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