Provider Demographics
NPI:1588950745
Name:CUNNINGHAM, CARRIE MELISSA (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:MELISSA
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:1263 MISSION ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2705
Mailing Address - Country:US
Mailing Address - Phone:415-502-0647
Mailing Address - Fax:
Practice Address - Street 1:1263 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2705
Practice Address - Country:US
Practice Address - Phone:415-502-0647
Practice Address - Fax:415-514-6466
Is Sole Proprietor?:No
Enumeration Date:2011-06-24
Last Update Date:2024-01-31
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Provider Licenses
StateLicense IDTaxonomies
CAA121830207Q00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine