Individual
VINAY THOMAS FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
875 BLAKE WILBUR DRIVE, CC-2226A, STANFORD, CA 94305
(650) 736-1680
Mailing address
875 BLAKE WILBUR DRIVE, CC-2226A, STANFORD, CA 94305
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A137644
CA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
A137644
CA
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
07/16/2015
Last updated
07/30/2015
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