Provider Demographics
NPI:1346675766
Name:ECHT, DEBRA SHERYL (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:SHERYL
Last Name:ECHT
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 1:2145A PARADISE DR
Mailing Address - Street 2:
Mailing Address - City:BELVEDERE TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-1939
Mailing Address - Country:US
Mailing Address - Phone:415-889-5439
Mailing Address - Fax:
Practice Address - Street 1:2145A PARADISE DR
Practice Address - Street 2:
Practice Address - City:BELVEDERE TIBURON
Practice Address - State:CA
Practice Address - Zip Code:94920-1939
Practice Address - Country:US
Practice Address - Phone:415-889-5439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-04
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42032207R00000X, 207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease