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NPI Code Detail

MEDICARE: DR. KATHARINE PETERSON M.D., MPH

MEDICARE: DR. KATHARINE PETERSON M.D., MPH
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
1207Q00000XFamily Medicine Physician266548MA
2207Q00000XFamily Medicine PhysicianA167809CA

General Provider Information

NPI Number : 1740626571
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHARINE PETERSON M.D., MPH
Provider Business Mailing Address
First Line : 1 EMBARCADERO CTR STE 1900
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94111-3723
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 500 SAN PABLO AVE
Second Line :
City : ALBANY
State : CA
Zip : 94706-1103
Country : US
Telephone Number : 510-204-8130
Fax Number : 510-507-7726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2013
Last Update Date : 05/08/2026

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