Provider Demographics
NPI:1437285665
Name:SEFTEL, DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:SEFTEL
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 1:1100 EASTSHORE HWY
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94710-1002
Mailing Address - Country:US
Mailing Address - Phone:650-349-7977
Mailing Address - Fax:650-573-4636
Practice Address - Street 1:1100 EASTSHORE HWY
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94710-1002
Practice Address - Country:US
Practice Address - Phone:650-349-7977
Practice Address - Fax:650-573-4636
Is Sole Proprietor?:No
Enumeration Date:2007-02-23
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60937207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine