Provider Demographics
NPI:1225070139
Name:JUE, KATHERINE F (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:F
Last Name:JUE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1767 UNION ST APT 105
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4412
Mailing Address - Country:US
Mailing Address - Phone:415-885-8076
Mailing Address - Fax:415-476-4150
Practice Address - Street 1:1425 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5318
Practice Address - Country:US
Practice Address - Phone:925-295-5020
Practice Address - Fax:415-353-8589
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA916602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A916600Medicaid
CA00A916600Medicare PIN
CAI12437Medicare UPIN