Individual
PHILIP IVAN-FRANCIS FERNANDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 WELCH RD STE 116, PALO ALTO, CA 94304-1508
(650) 725-9813
Mailing address
750 WELCH RD STE 116, PALO ALTO, CA 94304-1508
(650) 725-9813
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
A201230
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2022
Last updated
06/13/2025
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