Provider Demographics
NPI:1467584490
Name:KANTOR, ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:
Last Name:KANTOR
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 1:333 TURK ST
Mailing Address - Street 2:NO OF MARKET SR. SVCS - CURRY SR. CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-3703
Mailing Address - Country:US
Mailing Address - Phone:415-885-2274
Mailing Address - Fax:415-885-2344
Practice Address - Street 1:333 TURK ST
Practice Address - Street 2:NO OF MARKET SR. SVCS - CURRY SR. CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-3703
Practice Address - Country:US
Practice Address - Phone:415-885-2274
Practice Address - Fax:415-885-2344
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG38590207QA0505X, 207RG0300X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
004523OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
004523OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER