Individual
PAHNWAT TONYA TAWEESEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A178686
CA
207RP1001X
Pulmonary Disease Physician
A178686
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
A178686
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2017
Last updated
08/30/2024
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