Provider Demographics
NPI:1801865027
Name:SMITH, ALASTAIR KENNETH (MD)
Entity Type:Individual
Prefix:
First Name:ALASTAIR
Middle Name:KENNETH
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2288 MARKET ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114
Mailing Address - Country:US
Mailing Address - Phone:415-964-4855
Mailing Address - Fax:415-964-4789
Practice Address - Street 1:2288 MARKET ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114
Practice Address - Country:US
Practice Address - Phone:415-964-4855
Practice Address - Fax:415-964-4789
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA43437207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine