MEDICARE: DENITZA BLAGEV 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	A90895	CA
2	207RP1001X	Pulmonary Disease Physician	A90895	CA

General Provider Information

NPI Number	:	1871728469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENITZA BLAGEV M.D.

Provider Business Mailing Address
First Line	:	1560 3RD ST APT 1205
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94158-2323
Country	:	US
Telephone Number	:	415-823-7121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1550 4TH ST
Second Line	:	ROCK HALL RM 545
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94158-2324
Country	:	US
Telephone Number	:	415-823-7121
Fax Number	:

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

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	09/30/2021

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