Provider Demographics
NPI:1528373735
Name:ALTHUBAITI, GHAZI A (MD)
Entity Type:Individual
Prefix:DR
First Name:GHAZI
Middle Name:A
Last Name:ALTHUBAITI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:45 CASTRO ST
Mailing Address - Street 2:SUITE 121
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1022
Mailing Address - Country:US
Mailing Address - Phone:415-565-6897
Mailing Address - Fax:415-864-1654
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:SUITE 121
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1022
Practice Address - Country:US
Practice Address - Phone:415-565-6897
Practice Address - Fax:415-864-1654
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA 113573208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery