Provider Demographics
NPI:1023181203
Name:ORNSTEIN, KARA SUZANNE (MD)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:SUZANNE
Last Name:ORNSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:SUZANNE
Other - Last Name:ANDERMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1100 SOUTH ELISEO DR
Mailing Address - Street 2:STE #106
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904
Mailing Address - Country:US
Mailing Address - Phone:415-461-8828
Mailing Address - Fax:415-461-3772
Practice Address - Street 1:1100 SOUTH ELISEO DR
Practice Address - Street 2:STE #106
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904
Practice Address - Country:US
Practice Address - Phone:415-461-8828
Practice Address - Fax:415-461-3772
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA065942208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics