Provider Demographics
NPI:1144249202
Name:WHINERY, FREDERIC P (MD)
Entity type:Individual
Prefix:DR
First Name:FREDERIC
Middle Name:P
Last Name:WHINERY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3838 CALIFORNIA ST
Mailing Address - Street 2:RM 600
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1508
Mailing Address - Country:US
Mailing Address - Phone:415-923-3528
Mailing Address - Fax:415-563-4687
Practice Address - Street 1:3838 CALIFORNIA ST
Practice Address - Street 2:RM 600
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1508
Practice Address - Country:US
Practice Address - Phone:415-923-3540
Practice Address - Fax:415-668-7615
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG23088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G230880Medicaid
CA00G230880Medicaid
CA00G230880Medicaid