Provider Demographics
NPI:1396895355
Name:HUME, PATRICIA ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:HUME
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 VAN NESS AVE STE 702
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3015
Mailing Address - Country:US
Mailing Address - Phone:415-673-9511
Mailing Address - Fax:415-292-4167
Practice Address - Street 1:2000 VAN NESS AVE STE 702
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3015
Practice Address - Country:US
Practice Address - Phone:415-673-9511
Practice Address - Fax:415-292-4167
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA85409207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A854090Medicaid