Provider Demographics
NPI:1699028712
Name:KADAFOUR, MAHA (PHARMD, BCPS)
Entity Type:Individual
Prefix:
First Name:MAHA
Middle Name:
Last Name:KADAFOUR
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 DIVISADERO ST # A002
Mailing Address - Street 2:UCSF MEDICAL CENTER-MT.ZION
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3010
Mailing Address - Country:US
Mailing Address - Phone:415-514-8938
Mailing Address - Fax:
Practice Address - Street 1:1600 DIVISADERO ST # A002
Practice Address - Street 2:UCSF MEDICAL CENTER-MT.ZION
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-1662
Practice Address - Country:US
Practice Address - Phone:415-514-8938
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA625771835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy