Provider Demographics
NPI:1053519116
Name:KADAN, DAVID HARRIS (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:HARRIS
Last Name:KADAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:U C BERKELEY UNIVERSITY HEALTH
Mailing Address - Street 2:2222 BANCROFT WAY, #4300
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94720-4300
Mailing Address - Country:US
Mailing Address - Phone:510-642-2000
Mailing Address - Fax:
Practice Address - Street 1:U C BERKELEY UNIVERSITY HEALTH
Practice Address - Street 2:2222 BANCROFT WAY, #4300
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94720-4300
Practice Address - Country:US
Practice Address - Phone:510-642-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA99139207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine