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Organization
STANFORD UNIVERSITY
Active
Organization
STANFORD UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEERAJA KAMBHAM MD (PROGRAM DIRECTOR FOR ANATOMIC & CLI)
(650) 725-5193
Entity
Organization
Contact information
Practice address
450 SERRA MALL, PALO ALTO, CA 94305-2004
(414) 897-4731
Mailing address
1717 BATH RD, APT A-08, BRISTOL, PA 19007-2747
(414) 897-4731
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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