Provider Demographics
NPI:1093020638
Name:HA, RAYMOND S (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:S
Last Name:HA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1044 TARAVAL ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-2423
Mailing Address - Country:US
Mailing Address - Phone:415-566-3808
Mailing Address - Fax:415-520-5153
Practice Address - Street 1:1044 TARAVAL ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-2423
Practice Address - Country:US
Practice Address - Phone:415-566-3808
Practice Address - Fax:415-750-5910
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-06
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA123101207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine