MEDICARE: KAVITHA THIAGARAJAN

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	207RA0201X	Allergy & Immunology (Internal Medicine) Physician	A185199	CA

General Provider Information

NPI Number	:	1528695707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAVITHA THIAGARAJAN

Provider Business Mailing Address
First Line	:	400 PARNASSUS AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 ILLINOIS ST # D3219
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94143-2501
Country	:	US
Telephone Number	:	415-476-3266
Fax Number	:

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

Provider Enumeration Date	:	03/26/2020
Last Update Date	:	07/09/2025

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Directions to “ KAVITHA THIAGARAJAN ” Practice Location

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