Provider Demographics
NPI:1841507506
Name:ASHOURI-SINHA, JUDITH FREDERICKA (MD)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:FREDERICKA
Last Name:ASHOURI-SINHA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JUDITH
Other - Middle Name:FREDERICKA
Other - Last Name:ASHOURI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:513 PARNASSUS AVE
Mailing Address - Street 2:BOX 0795
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-2205
Mailing Address - Country:US
Mailing Address - Phone:415-353-2497
Mailing Address - Fax:415-353-2777
Practice Address - Street 1:400 PARNASSUS AVE
Practice Address - Street 2:FLOOR B1
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2205
Practice Address - Country:US
Practice Address - Phone:415-353-2497
Practice Address - Fax:415-353-2777
Is Sole Proprietor?:No
Enumeration Date:2010-09-01
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109504207RR0500X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine