Provider Demographics
NPI:1275704744
Name:CABANSAG, CATHLEEN NORA (MD)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:NORA
Last Name:CABANSAG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2186 GEARY BLVD
Mailing Address - Street 2:SUITE #320
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3455
Mailing Address - Country:US
Mailing Address - Phone:415-749-6900
Mailing Address - Fax:415-346-0161
Practice Address - Street 1:2186 GEARY BLVD
Practice Address - Street 2:SUITE #320
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3455
Practice Address - Country:US
Practice Address - Phone:415-749-6900
Practice Address - Fax:415-346-0161
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA95509207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA95509OtherCA LICENSE
CAA95509OtherCA LICENSE