Basic Information
Provider Information
NPI: 1417322835
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ADELMANN
FirstName: DIETER
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 505 PARNASSUS AVE
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941432204
CountryCode: US
TelephoneNumber: 4158857626
FaxNumber: 4158857284
Practice Location
Address1: 521 PARNASSUS AVE
Address2: UCSF DEPARTMENT OF ANESTHESIA AND PERIOPERATIVE CARE
City: SAN FRANCISCO
State: CA
PostalCode: 941432206
CountryCode: US
TelephoneNumber: 4154762131
FaxNumber:  
Other Information
ProviderEnumerationDate: 12/10/2015
LastUpdateDate: 12/11/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XF417CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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