MEDICARE: DR. GARY ARSHAM 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	G20823	CA

General Provider Information

NPI Number	:	1487646758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GARY ARSHAM M.D.

Provider Business Mailing Address
First Line	:	PO BOX 15608
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-0608
Country	:	US
Telephone Number	:	415-346-4740
Fax Number	:	415-567-3929

Provider Business Practice Location Address
First Line	:	2340 CLAY ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-1932
Country	:	US
Telephone Number	:	415-346-4740
Fax Number	:	415-567-3929

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	03/04/2013

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