Provider Demographics
NPI:1497985683
Name:VENADO ESTRADA, AIDA ADRIANA (MD)
Entity Type:Individual
Prefix:
First Name:AIDA
Middle Name:ADRIANA
Last Name:VENADO ESTRADA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:AIDA
Other - Middle Name:
Other - Last Name:VENADO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:350 PARNASSUS AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3608
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE FL 5
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143
Practice Address - Country:US
Practice Address - Phone:415-353-2577
Practice Address - Fax:415-353-8944
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-22
Last Update Date:2018-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA137303207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine