Dae, Michael W.

Dae, Michael W. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Nuclear Medicine is his primary health care specialty. Dae, Michael W. can be contacted via phone (415) 353-1521.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 353-1521
Fax: (415) 502-3254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X G39311 California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G39311 California

Profile Details

NPI number 1992744510
LBN Legal business name Dae, Michael W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Aug 6th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992744510 NPPES
California MEDICAID 00G393110

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