Tamer M Abdel-Azim, DDS

Individual provider Active NPI Prosthodontics · San Francisco, CA

NPI 1417263286 · NPPES record last updated Jun 26, 2016

Key facts

NPI
1417263286
Entity type
Individual (NPI type 1)
Primary specialty
Prosthodontics 1223P0700X
License
64670 (CA)
Practice address
586 Washington St
San Francisco, CA 94111-2929
Phone
(415) 590-7485
Fax
(415) 590-7489
NPI assigned
Aug 31, 2010
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
64670CAMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 64670 CA Yes

Addresses

Primary practice location

586 Washington St
San Francisco, CA 94111-2929

Mailing address

PO Box 2921
San Francisco, CA 94126-2921
Phone (415) 590-7485

Other providers in San Francisco, CA

All providers in San Francisco, CA · Prosthodontics in California

Sources for this page

Verify at the official NPI Registry.