Provider Demographics
NPI:1184083081
Name:URUBSHUROW, DELGHIR KENNICK (DC)
Entity type:Individual
Prefix:DR
First Name:DELGHIR
Middle Name:KENNICK
Last Name:URUBSHUROW
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 VALENCIA ST
Mailing Address - Street 2:SUITE # 1C
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-5047
Mailing Address - Country:US
Mailing Address - Phone:415-788-8700
Mailing Address - Fax:415-285-2365
Practice Address - Street 1:1640 VALENCIA ST
Practice Address - Street 2:SUITE # 1C
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-5047
Practice Address - Country:US
Practice Address - Phone:415-788-8700
Practice Address - Fax:415-285-2365
Is Sole Proprietor?:No
Enumeration Date:2016-02-19
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33478111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor