Provider Demographics
NPI:1912093626
Name:NABER, WILLIAM DOUJAN (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DOUJAN
Last Name:NABER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1375 SUTTER ST
Mailing Address - Street 2:201
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-5438
Mailing Address - Country:US
Mailing Address - Phone:415-346-0255
Mailing Address - Fax:415-346-2553
Practice Address - Street 1:1375 SUTTER ST
Practice Address - Street 2:201
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5438
Practice Address - Country:US
Practice Address - Phone:415-346-0255
Practice Address - Fax:415-346-2553
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2009-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41429208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1912093626OtherNATIONAL PROVIDER IDENTIFICATION
CA00A414290Medicare ID - Type Unspecified
A29373Medicare UPIN