Provider Demographics
NPI:1013089762
Name:O'KEEFE, PHILIP J (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:J
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:45 CASTRO STREET
Mailing Address - Street 2:SUITE 138
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114
Mailing Address - Country:US
Mailing Address - Phone:415-558-8200
Mailing Address - Fax:415-558-8288
Practice Address - Street 1:45 CASTRO STREET
Practice Address - Street 2:SUITE 138
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114
Practice Address - Country:US
Practice Address - Phone:415-558-8200
Practice Address - Fax:415-558-8288
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG26028207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A42877Medicare UPIN