Provider Demographics
NPI:1023099215
Name:MEADOWS, ALISON KNAUTH (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:KNAUTH
Last Name:MEADOWS
Suffix:
Gender:F
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:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Mailing Address - Street 2:400 PARNASSUS AVE, AC09N, BOX 0628
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0001
Mailing Address - Country:US
Mailing Address - Phone:415-353-2756
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF CALIFORNIA SAN FRANCISCO
Practice Address - Street 2:400 PARNASSUS AVE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-0001
Practice Address - Country:US
Practice Address - Phone:415-353-2756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224267208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA470500OtherTUFTS HEALTH PLAN
MAJ29184OtherBCBS MA
MAJ29184OtherBLUE CARE ELECT
MAAA41126OtherHARVARD PILGRIM
MA96697501OtherNETWORK HEALTH
RIAK61372Medicaid
MAJ29184OtherHMO BLUE