Provider Demographics
NPI:1467653006
Name:NATHANSON, DANIEL R (MD)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:R
Last Name:NATHANSON
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Gender:
Credentials:MD
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Mailing Address - Street 1:1 DANIEL BURNHAM CT
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-221-7056
Mailing Address - Fax:415-221-7058
Practice Address - Street 1:1 DANIEL BURNHAM CT
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5455
Practice Address - Country:US
Practice Address - Phone:415-221-7056
Practice Address - Fax:415-221-7058
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2025-03-03
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Provider Licenses
StateLicense IDTaxonomies
CAA917122086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91712OtherMEDICAL LICENSE