Provider Demographics
NPI:1104839778
Name:FRAZEE, GIANNA MICHELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:GIANNA
Middle Name:MICHELLE
Last Name:FRAZEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2100 WEBSTER ST STE 110
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2374
Mailing Address - Country:US
Mailing Address - Phone:415-666-1860
Mailing Address - Fax:415-666-0121
Practice Address - Street 1:2100 WEBSTER ST STE 110
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2374
Practice Address - Country:US
Practice Address - Phone:415-666-1860
Practice Address - Fax:415-666-0121
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0801832080A0000X
CAG80183208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine