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Contact Information

DAVID S FANKUSHEN, MD
12 RITTER ST
SAN RAFAEL, CA94912
 Phone: 415-457-8182
 Fax: 415-457-3490
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DAVID S FANKUSHEN · (Male)

NPI # 1174721856
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # GFE10777
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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