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DR. KIDIST KIDANE YIMAM M.D. NPI 1639321839


NPI Information

NPI: 1639321839
Provider Name: DR. KIDIST KIDANE YIMAM, M.D.
Classification: Internal Medicine - 207RT0003X
Entity Type: Individual

Specialization: Transplant Hepatology

PECOS Registration: Yes

Address:
1100 VAN NESS AVE
SAN FRANCISCO, CA
ZIP 94109
Phone: (415) 600-1020
Get Directions

DR. Kidist Kidane Yimam, M.D. is a transplant hepatology internal medicine in San Francisco, CA with 18 years of experience. The provider is an internist with special knowledge and the skill required of a gastroenterologist to care for patients prior to and following hepatic transplantation that spans all phases of liver transplantation. Selection of appropriate recipients requires assessment by a team having experience in evaluating the severity and prognosis of patients with liver disease. DR. Kidist Kidane Yimam, M.D. NPI is 1639321839. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

1100 VAN NESS AVE
SAN FRANCISCO, CA
ZIP 94109-978
Phone: (415) 600-1020
Fax: (415) 922-1594

The NPI 1639321839 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 10/21/2008 and was last updated on 11/16/2020.


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
1204F00000XTransplant SurgeryA103412CALIFORNIANo
2207R00000XInternal MedicineA103412CALIFORNIANo
3207RG0100XInternal MedicineGastroenterologyA103412CALIFORNIANo
4207RI0008XInternal MedicineHepatologyA103412CALIFORNIANo
5207RT0003XInternal MedicineTransplant Hepatology906368CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A103412OTHERCALIFORNIASTATE MEDICAL LICENSE

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: 4/28/2024

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.