Provider Demographics
NPI:1619696978
Name:THYE, DIRK ANDERS (MD)
Entity Type:Individual
Prefix:DR
First Name:DIRK
Middle Name:ANDERS
Last Name:THYE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 330365
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-0365
Mailing Address - Country:US
Mailing Address - Phone:415-533-3236
Mailing Address - Fax:
Practice Address - Street 1:601 GATEWAY BLVD STE 1250
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-7051
Practice Address - Country:US
Practice Address - Phone:415-533-3236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-22
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63190207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine