Provider Demographics
NPI:1518266873
Name:SPARKS, ANNABELLE ZIV YFA KRETZSCHMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNABELLE
Middle Name:ZIV YFA KRETZSCHMAR
Last Name:SPARKS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANNABELLE
Other - Middle Name:ZIV YFA
Other - Last Name:KRETZSCHMAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2351 CLAY ST STE 380
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-1931
Mailing Address - Country:US
Mailing Address - Phone:415-600-3954
Mailing Address - Fax:
Practice Address - Street 1:2351 CLAY ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1931
Practice Address - Country:US
Practice Address - Phone:415-600-3954
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-24
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program