Provider Demographics
NPI:1265470520
Name:PRIEST, DAVID R (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:R
Last Name:PRIEST
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:275 BURNETT AVE
Mailing Address - Street 2:#8
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-750-5770
Mailing Address - Fax:415-750-4872
Practice Address - Street 1:450 STANYAN ST
Practice Address - Street 2:DEPARTMENT OF RADIOLOGY
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-1079
Practice Address - Country:US
Practice Address - Phone:415-353-1668
Practice Address - Fax:415-750-4853
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2024-02-06
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Provider Licenses
StateLicense IDTaxonomies
CAA714662085N0700X, 2085R0202X
FLME842802085N0700X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A714660Medicaid
CA00A714660Medicaid
CAH40089Medicare UPIN