Active NPI
Shereen Shakuntala Katrak, MD
- Infectious Disease Physician
- San Francisco, CA
National Provider Identifier
1821315243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A124954
- Practice address
- 350 Parnassus Ave
San Francisco, CA 94117-3608 - Phone
- (154) 353-2119
- NPI assigned
- Apr 24, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | A124954 | CA | Primary |
Addresses
Primary practice location
350 Parnassus Ave
San Francisco, CA 94117-3608
Mailing address
850 Marina Bay Parkway
TBCB, Building P
Richmond, CA 94804
Phone (510) 412-5838
Other practice location 1
850 Marina Bay Pkwy
Richmond, CA 94804-6403
Phone (510) 412-5838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124954 | CA | MD | Social Worker |
| A124954 | CA | MD | Infectious Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546560000000",
"number": "1821315243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 MARINA BAY PARKWAY",
"address_2": "TBCB, BUILDING P",
"city": "RICHMOND",
"state": "CA",
"postal_code": "94804",
"telephone_number": "510-412-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARNASSUS AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941173608",
"telephone_number": "154-353-2119"
}
],
"practiceLocations": [
{
"address_1": "850 Marina Bay Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948046403",
"country_code": "US",
"telephone_number": "510-412-5838",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KATRAK",
"first_name": "SHEREEN",
"middle_name": "SHAKUNTALA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-24",
"last_updated": "2019-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "CA",
"license": "A124954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.