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NPI Code Detail

MEDICARE: DR. DEREK KUHL RICHARDSON MD

MEDICARE: DR. DEREK KUHL RICHARDSON MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207P00000XEmergency Medicine PhysicianA125845CA

General Provider Information

NPI Number : 1871750851
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEREK KUHL RICHARDSON MD
Provider Business Mailing Address
First Line : 1689 TURK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-4527
Country : US
Telephone Number : 734-476-9305
Fax Number :
Provider Business Practice Location Address
First Line : 1689 TURK ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94115-4527
Country : US
Telephone Number : 734-476-9305
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2008
Last Update Date : 08/25/2016

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