# STANFORD UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538696299
- **Authorized official:** DR. NEERAJA KAMBHAM MD (PROGRAM DIRECTOR FOR ANATOMIC & CLI)
- **Authorized official phone:** (650) 725-5193

## Contact information

- **Practice address:** 450 SERRA MALL, PALO ALTO, CA 94305-2004
- **Practice address phone:** (414) 897-4731
- **Mailing address:** 1717 BATH RD, APT A-08, BRISTOL, PA 19007-2747
- **Mailing address phone:** (414) 897-4731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 05/12/2017