Basic Information
| Provider Information | |||||||||
| NPI: | 1730311507 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AUSTIN | ||||||||
| FirstName: | ANDREA | ||||||||
| MiddleName: | HUI | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2299 POST ST | ||||||||
| Address2: | SUITE 312 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941153441 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152926350 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 2299 POST ST | ||||||||
| Address2: | SUITE 312 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941153441 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4152926350 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2009 | ||||||||
| LastUpdateDate: | 01/17/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207N00000X | 2648654 | NY | N | Allopathic & Osteopathic Physicians | Dermatology | 207ND0101X | 131152 | CA | N | Allopathic & Osteopathic Physicians | Dermatology | MOHS-Micrographic Surgery | 207R00000X | 125.056776 | IL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207N00000X | 131152 | CA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.