Provider Demographics
NPI:1821175878
Name:DAHLEM, MONICA MEHRALI (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:MEHRALI
Last Name:DAHLEM
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 1:490 POST STREET
Mailing Address - Street 2:#700
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-362-2238
Mailing Address - Fax:415-362-7745
Practice Address - Street 1:490 POST STREET
Practice Address - Street 2:#700
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102
Practice Address - Country:US
Practice Address - Phone:415-362-2238
Practice Address - Fax:415-362-7745
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG80732174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
G48952Medicare UPIN
CA00G807320Medicare ID - Type Unspecified