Provider Demographics
NPI:1477583029
Name:MURRAY, KATERI (MD)
Entity type:Individual
Prefix:
First Name:KATERI
Middle Name:
Last Name:MURRAY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8 FAIRWOOD CT
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-1426
Mailing Address - Country:US
Mailing Address - Phone:415-987-5034
Mailing Address - Fax:415-453-1074
Practice Address - Street 1:1400 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6561
Practice Address - Country:US
Practice Address - Phone:415-351-7961
Practice Address - Fax:415-775-9700
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2021-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG061215207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG04447Medicare UPIN