Basic Information
Provider Information
NPI: 1154740751
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NYAKUDARIKA
FirstName: NATSAI
MiddleName: CHARLENE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 550 16TH STREET, 7TH FLOOR, BOX 0132
Address2: UCSF OB/GYN DEPARTMENT
City: SAN FRANCISCO
State: CA
PostalCode: 941582549
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1001 POTRERO AVE # 6D
Address2: SFGH OB GYN
City: SAN FRANCISCO
State: CA
PostalCode: 941103518
CountryCode: US
TelephoneNumber: 4152064069
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/10/2014
LastUpdateDate: 01/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XA139375CAY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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