Provider Demographics
NPI:1205937380
Name:FUCHS, JONATHAN D (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:D
Last Name:FUCHS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:734 DOLORES ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2214
Mailing Address - Country:US
Mailing Address - Phone:415-336-1290
Mailing Address - Fax:415-431-7029
Practice Address - Street 1:25 VAN NESS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6033
Practice Address - Country:US
Practice Address - Phone:415-336-1290
Practice Address - Fax:415-431-7029
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA68927208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA68927OtherMEDICAL LICENSE
H20851Medicare UPIN