Provider Demographics
NPI:1043639503
Name:ASKIN, ELISABETH THAMES BOEHME (MD)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:THAMES BOEHME
Last Name:ASKIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ELISABETH
Other - Middle Name:THAMES
Other - Last Name:BOEHME
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1545 DIVISADERO ST
Mailing Address - Street 2:SUITE 322
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-3425
Mailing Address - Country:US
Mailing Address - Phone:510-435-8580
Mailing Address - Fax:
Practice Address - Street 1:1545 DIVISADERO ST
Practice Address - Street 2:SUITE 322
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-3425
Practice Address - Country:US
Practice Address - Phone:510-435-8580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA141891207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine