Provider Demographics
NPI:1134291180
Name:RYAN, ISABELLE PATRICIA (MD)
Entity type:Individual
Prefix:DR
First Name:ISABELLE
Middle Name:PATRICIA
Last Name:RYAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:55 FRANCISCO ST STE 500
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-2110
Mailing Address - Country:US
Mailing Address - Phone:415-834-3000
Mailing Address - Fax:415-834-3099
Practice Address - Street 1:55 FRANCISCO ST STE 500
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94133-2110
Practice Address - Country:US
Practice Address - Phone:415-834-3000
Practice Address - Fax:415-834-3099
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG069996207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF15890Medicare UPIN