Provider Demographics
NPI:1720211279
Name:HEUBLEIN, MOLLY R (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:R
Last Name:HEUBLEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2356 SUTTER ST, 3RD FLOOR
Mailing Address - Street 2:UCSF WOMEN'S HEALTH PRIMARY CARE
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115
Mailing Address - Country:US
Mailing Address - Phone:451-885-7788
Mailing Address - Fax:
Practice Address - Street 1:2356 SUTTER ST, 3RD FLOOR
Practice Address - Street 2:UCSF WOMEN'S HEALTH PRIMARY CARE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:451-885-7788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-01
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120931207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine