Basic Information
Provider Information
NPI: 1063651446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CAGE
FirstName: TENE
MiddleName: ANEKA
NamePrefix: MRS.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 505 PARNASSUS AVE
Address2: M779
City: SAN FRANCISCO
State: CA
PostalCode: 941430112
CountryCode: US
TelephoneNumber: 4153533904
FaxNumber:  
Practice Location
Address1: 505 PARNASSUS AVE
Address2: M779
City: SAN FRANCISCO
State: CA
PostalCode: 94143
CountryCode: US
TelephoneNumber: 4153533904
FaxNumber:  
Other Information
ProviderEnumerationDate: 02/09/2009
LastUpdateDate: 06/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000XA121054CAY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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