Provider Demographics
NPI:1659487635
Name:GRUNFELD, CARL (MD)
Entity Type:Individual
Prefix:DR
First Name:CARL
Middle Name:
Last Name:GRUNFELD
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:VETERANS AFFAIRS MEDICAL CENTER
Mailing Address - Street 2:4150 CLEMENT STREET
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-1598
Mailing Address - Country:US
Mailing Address - Phone:415-750-2005
Mailing Address - Fax:415-750-6927
Practice Address - Street 1:4150 CLEMENT ST
Practice Address - Street 2:METABOLISM SECTION 111F
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94121-1545
Practice Address - Country:US
Practice Address - Phone:415-750-2005
Practice Address - Fax:415-750-6927
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG41853207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism