Provider Demographics
NPI:1578873782
Name:PHILIP J. O'KEEFE M.D., INC.
Entity Type:Organization
Organization Name:PHILIP J. O'KEEFE M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:J
Authorized Official - Last Name:O'KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-558-8847
Mailing Address - Street 1:45 CASTRO STREET
Mailing Address - Street 2:SUITE 138
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1029
Mailing Address - Country:US
Mailing Address - Phone:415-558-8200
Mailing Address - Fax:415-558-8288
Practice Address - Street 1:45 CASTRO STREET
Practice Address - Street 2:SUITE 138
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1029
Practice Address - Country:US
Practice Address - Phone:415-558-8200
Practice Address - Fax:415-558-8288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2010-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG26028207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42877Medicare UPIN