Porten, Sima Prabodh

Porten, Sima Prabodh is an individual health care provider with primary practice located at 1825 4Th Street , San Francisco CA 94158. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Porten, Sima Prabodh can be contacted via phone (415) 353-7171.

Contact Information

Primary practice address
1825 4Th Street San Francisco CA 94158
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X XXXXXXXX California

Profile Details

NPI number 1124157474
LBN Legal business name Porten, Sima Prabodh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2007
Last updated Aug 4th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124157474 NPPES
Texas MEDICAID 319115701

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