Provider Demographics
NPI:1932296985
Name:AVRIN, DAVID E (MD, PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:AVRIN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 PARNASSUS AVE
Mailing Address - Street 2:BOX 0628
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0628
Mailing Address - Country:US
Mailing Address - Phone:415-353-2573
Mailing Address - Fax:415-353-9488
Practice Address - Street 1:505 PARNASSUS AVE
Practice Address - Street 2:BOX 0628
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0628
Practice Address - Country:US
Practice Address - Phone:415-353-2573
Practice Address - Fax:415-353-9488
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2012-06-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
UT5119518-12052085R0204X, 2085B0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging