Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G65337 | CA |
N | 111NI0900X | Internist | G65337 | CA |
N | 207RH0000X | Hematologist | G65337 | CA |
Y | 207RX0202X | Medical Oncology | G65337 | CA |
NPI | 1427007657 |
---|---|
Provider Name | Dr. Thierry M. Jahan |
First Address | San Francisco, CA 94143-0001 |
Second Address | San Francisco, CA 94115-3010 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 30/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G653370 | (05) | CA |
F80749 | (02) | CA |