Provider Demographics
NPI:1548226368
Name:NAGEL, MICHAEL R (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:R
Last Name:NAGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 330180
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-0180
Mailing Address - Country:US
Mailing Address - Phone:408-497-5589
Mailing Address - Fax:888-981-8077
Practice Address - Street 1:1750 TAYLOR ST UNIT 2202
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-5441
Practice Address - Country:US
Practice Address - Phone:408-497-5589
Practice Address - Fax:888-981-8077
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2018-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA21653207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA21653Medicare UPIN