Provider Demographics
NPI:1447711320
Name:DU, SIENMI (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:SIENMI
Middle Name:
Last Name:DU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:490 ILLINOIS ST FL 10
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158-2510
Mailing Address - Country:US
Mailing Address - Phone:415-476-5192
Mailing Address - Fax:415-476-1811
Practice Address - Street 1:1001 POTRERO AVE # 6D
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:415-476-5192
Practice Address - Fax:415-476-1811
Is Sole Proprietor?:No
Enumeration Date:2019-03-25
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA1447711320207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARES000OtherUPIN