Provider Demographics
NPI:1881751170
Name:MERRITT, ELI (MD)
Entity type:Individual
Prefix:DR
First Name:ELI
Middle Name:
Last Name:MERRITT
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 1:3786 20TH ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2220
Mailing Address - Country:US
Mailing Address - Phone:415-285-3774
Mailing Address - Fax:415-648-5474
Practice Address - Street 1:3786 20TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2220
Practice Address - Country:US
Practice Address - Phone:415-285-3774
Practice Address - Fax:415-648-5474
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA704302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry