MEDICARE: CHLOE ATREYA MD, PHD

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	207RX0202X	Medical Oncology Physician	A104445	CA

General Provider Information

NPI Number	:	1326058777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHLOE ATREYA MD, PHD

Provider Business Mailing Address
First Line	:	1600 DIVISADERO ST
Second Line	:	4TH FLOOR, BOX 1705
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3010
Country	:	US
Telephone Number	:	415-353-9888
Fax Number	:	415-353-9931

Provider Business Practice Location Address
First Line	:	1600 DIVISADERO ST
Second Line	:	4TH FLOOR, BOX 1705
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3010
Country	:	US
Telephone Number	:	415-353-9888
Fax Number	:	415-353-9931

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	11/30/2012

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