Provider Demographics
NPI:1710342910
Name:CARRAHER, NOAH
Entity Type:Individual
Prefix:
First Name:NOAH
Middle Name:
Last Name:CARRAHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 NEW MONTGOMERY ST
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3623
Mailing Address - Country:US
Mailing Address - Phone:415-417-5645
Mailing Address - Fax:
Practice Address - Street 1:101 NEW MONTGOMERY ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3623
Practice Address - Country:US
Practice Address - Phone:415-417-5645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist