Provider Demographics
NPI:1528201324
Name:IKRAM, NABIA SHIRIN
Entity type:Individual
Prefix:
First Name:NABIA
Middle Name:SHIRIN
Last Name:IKRAM
Suffix:
Gender:F
Credentials:
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Mailing Address - Street 1:810 GONZALEZ DR APT ME
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-2217
Mailing Address - Country:US
Mailing Address - Phone:740-534-3230
Mailing Address - Fax:415-988-7300
Practice Address - Street 1:505 PARNASSUS AVENUE, MOFFITT ROOM M 396, BOX 0628
Practice Address - Street 2:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-2217
Practice Address - Country:US
Practice Address - Phone:415-353-1905
Practice Address - Fax:415-353-1796
Is Sole Proprietor?:No
Enumeration Date:2009-04-09
Last Update Date:2015-06-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1305042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology