Provider Demographics
NPI:1437233657
Name:EPREMIAN, BARBARA ELLEN (MD , FACP)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:ELLEN
Last Name:EPREMIAN
Suffix:
Gender:F
Credentials:MD , FACP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3838 CALIFORNIA ST.
Mailing Address - Street 2:SUITE 810
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1510
Mailing Address - Country:US
Mailing Address - Phone:415-668-1003
Mailing Address - Fax:415-668-7603
Practice Address - Street 1:3838 CALIFORNIA ST.
Practice Address - Street 2:SUITE 810
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1510
Practice Address - Country:US
Practice Address - Phone:415-668-1003
Practice Address - Fax:415-668-7603
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG67294207RX0202X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG067294OtherSTATE MEDICAL LICENSE
CAG067294OtherSTATE MEDICAL LICENSE
CAG067294OtherSTATE MEDICAL LICENSE
CAC66738Medicare UPIN