Provider Demographics
NPI:1649243197
Name:TSENG, ELAINE EVELINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ELAINE
Middle Name:EVELINA
Last Name:TSENG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:500 PARNASSUS AVE
Mailing Address - Street 2:SUITE 405W
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0118
Mailing Address - Country:US
Mailing Address - Phone:415-221-4810
Mailing Address - Fax:415-750-2181
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:112D
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-221-4810
Practice Address - Fax:415-750-2181
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2014-07-01
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Provider Licenses
StateLicense IDTaxonomies
CAG86536208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH69720Medicare UPIN
CA00G865360Medicare PIN