Provider Demographics
NPI:1093836710
Name:LU, BRANDON SHIN-NIN (MD, MS)
Entity type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:SHIN-NIN
Last Name:LU
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 VAN NESS AVE STE 1005
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6980
Mailing Address - Country:US
Mailing Address - Phone:415-923-3421
Mailing Address - Fax:415-243-8666
Practice Address - Street 1:1100 VAN NESS AVE STE 1005
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6980
Practice Address - Country:US
Practice Address - Phone:415-923-3421
Practice Address - Fax:415-243-8666
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA100954207RC0200X, 207RP1001X, 207RS0012X, 207RP1001X, 207RC0200X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease