Provider Demographics
NPI:1215100557
Name:WAHL, ELIZABETH RACHEL (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:RACHEL
Last Name:WAHL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1001 POTRERO AVE
Mailing Address - Street 2:BUILDING 30, RM 3300, BOX 0868
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3518
Mailing Address - Country:US
Mailing Address - Phone:415-206-8189
Mailing Address - Fax:415-648-8425
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:BUILDING 30, RM 3300, BOX 0868
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-206-8189
Practice Address - Fax:415-648-8425
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-08
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
CAA127339207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology