Provider Demographics
NPI:1366977100
Name:WHELAN, ADRIAN (MB BCH BAO)
Entity type:Individual
Prefix:MR
First Name:ADRIAN
Middle Name:
Last Name:WHELAN
Suffix:
Gender:M
Credentials:MB BCH BAO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:533 PARNASSUS AVENUE
Mailing Address - Street 2:U404, BOX 0532
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94143-0532
Mailing Address - Country:US
Mailing Address - Phone:415-476-1812
Mailing Address - Fax:415-476-3381
Practice Address - Street 1:400 PARNASSUS AVE, SUITE A701
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2208
Practice Address - Country:US
Practice Address - Phone:415-353-1551
Practice Address - Fax:415-353-8381
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA163343207RN0300X
ZZ357062207R00000X
CAPTAL207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine