Provider Demographics
NPI:1790826394
Name:ESCHE, CLEMENS (MD)
Entity Type:Individual
Prefix:DR
First Name:CLEMENS
Middle Name:
Last Name:ESCHE
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 1:370 N WIGET LN STE 250
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2454
Mailing Address - Country:US
Mailing Address - Phone:925-945-7005
Mailing Address - Fax:925-954-1822
Practice Address - Street 1:5575 W LAS POSITAS BLVD STE 260
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5803
Practice Address - Country:US
Practice Address - Phone:925-847-3020
Practice Address - Fax:925-954-1822
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC163030207N00000X
PAMD448189207N00000X
KY43075207N00000X
KYTP714207N00000X
MD204915207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00752410OtherRAILROAD
P00752410OtherRAILROAD
KY1307444Medicare PIN
1307444Medicare PIN