Provider Demographics
NPI:1558476978
Name:GELBART, SOLOMON SAMUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SOLOMON
Middle Name:SAMUEL
Last Name:GELBART
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:S.
Other - Middle Name:SAMUEL
Other - Last Name:GELBART
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:SUITE 640
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1401
Mailing Address - Country:US
Mailing Address - Phone:415-982-2020
Mailing Address - Fax:415-982-2011
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:SUITE 640
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1401
Practice Address - Country:US
Practice Address - Phone:415-982-2020
Practice Address - Fax:415-982-2011
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG039883207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA89693Medicare UPIN