# EAST BAY CARDIAC SURGERY CENTER MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Iverson & Stanten Cardiac & Thoracic Surgery Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609986777
- **Authorized official:** DR. JUNAID HAMEED KHAN M.D. (MANAGING PARTNER)
- **Authorized official phone:** (510) 465-6600

## Contact information

- **Practice address:** 3300 WEBSTER ST, SUITE 500, OAKLAND, CA 94609-3117
- **Practice address phone:** (510) 465-6600
- **Practice address fax:** (510) 839-0806
- **Mailing address:** 3300 WEBSTER ST, SUITE 500, OAKLAND, CA 94609-3117
- **Mailing address phone:** (510) 465-6600
- **Mailing address fax:** (510) 839-0806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 03/10/2015
