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THADDEUS MULLY M.D. NPI 1174519607


NPI Information

NPI: 1174519607
Provider Name: THADDEUS MULLY, M.D.
Classification: Pathology - 207ZD0900X
Entity Type: Individual

Specialization: Dermatopathology

PECOS Registration: Yes

Address:
400 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 476-1000
Get Directions

Thaddeus Mully, M.D. is a dermatopathology pathology in San Francisco, CA. The provider is a dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. Thaddeus Mully, M.D. NPI is 1174519607. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

400 PARNASSUS AVE
SAN FRANCISCO, CA
ZIP 94143-202
Phone: (415) 476-1000

The NPI 1174519607 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 7/11/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathology221206NEW YORKNo
2207ZD0900XPathologyDermatopathology221206NEW YORKNo
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyA65484CALIFORNIANo
4207ZD0900XPathologyDermatopathologyA65484CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.