Provider Demographics
NPI:1851358519
Name:QUEVEDO, SYLVESTRE G (MD)
Entity Type:Individual
Prefix:DR
First Name:SYLVESTRE
Middle Name:G
Last Name:QUEVEDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:SYLVER
Other - Middle Name:
Other - Last Name:QUEVEDO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1492 STAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:94062-4722
Mailing Address - Country:US
Mailing Address - Phone:408-781-1776
Mailing Address - Fax:
Practice Address - Street 1:UCSF OSHER CENTER 1545 DIVISADERO
Practice Address - Street 2:4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115
Practice Address - Country:US
Practice Address - Phone:415-353-7700
Practice Address - Fax:415-353-7358
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2018-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42355207RN0300X, 207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G423551Medicare PIN
CAE24808Medicare UPIN