Provider Demographics
NPI:1114151842
Name:BURGER, INGRID MARGUERITE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:INGRID
Middle Name:MARGUERITE
Last Name:BURGER
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Mailing Address - Street 2:505 PARNASSUS, M-391
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-476-8358
Mailing Address - Fax:415-476-0616
Practice Address - Street 1:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice Address - Street 2:505 PARNASSUS, M-391
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-476-8358
Practice Address - Fax:415-476-0616
Is Sole Proprietor?:No
Enumeration Date:2009-05-09
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1070432085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology