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Jay Chanan Mall, MD
Diagnostic Radiology Physician in San Francisco, California
NPI 1629016050

Jay Chanan Mall is a Diagnostic Radiology Physician based in Novato, CA and is specialized in Diagnostic Radiology. Jay Chanan Mall practices in San Francisco, CA and has the professional credentials of MD. The NPI Number for Jay Chanan Mall is 1629016050 and holds a License No. G22517 (California).

The current practice location address for Jay Chanan Mall is 3700 California St, San Francisco, CA and can be reached out via phone at 415-750-6025.

Location: 3700 California St, San Francisco, CA, 94948-6102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629016050
Provider Name
Jay Chanan Mall
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3700 California St, San Francisco, CA, 94948-6102
Phone Number
415-750-6025
Fax Number
Provider Enumeration Date
06/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G225170 05 CA
300130339 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
3700 California St
City
San Francisco
State
California
Zip
94118-1618
Phone Number
415-750-6025
Fax Number
person
Provider Business Mailing Address Details
Address
3700 California St
City
San Francisco
State
California
Zip
94118-1618
Phone Number
415-750-6025
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G22517 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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