Provider Demographics
NPI:1407985963
Name:JAIGIRDAR, ADNAN A (MD)
Entity Type:Individual
Prefix:DR
First Name:ADNAN
Middle Name:A
Last Name:JAIGIRDAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 PARNASSUS AVE
Mailing Address - Street 2:APT 306
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3739
Mailing Address - Country:US
Mailing Address - Phone:415-548-0028
Mailing Address - Fax:
Practice Address - Street 1:513 PARNASSUS AVENUE
Practice Address - Street 2:ROOM S-321
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-0470
Practice Address - Country:US
Practice Address - Phone:415-476-0789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87128208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery