Provider Demographics
NPI:1194914622
Name:LOUIE, JANICE K (MD, MPH)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:K
Last Name:LOUIE
Suffix:
Gender:F
Credentials:MD, MPH
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2460 22ND STREET
Mailing Address - Street 2:BUILDING 90, 4TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2815
Mailing Address - Country:US
Mailing Address - Phone:628-206-8524
Mailing Address - Fax:628-206-4565
Practice Address - Street 1:2460 22ND STREET
Practice Address - Street 2:BUILDING 90, 4TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2815
Practice Address - Country:US
Practice Address - Phone:916-479-0143
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-22
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG080472207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease