Individual
TAMI JANE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
(650) 498-7888
Mailing address
300 PASTEUR DR, PALO ALTO, CA 94304-2203
(650) 723-4000
(650) 498-7888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A74786
CA
207RG0100X
Gastroenterology Physician
Primary
A74786
CA
207RT0003X
Transplant Hepatology Physician
A74786
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14269958
CAQH
NV
01
—
18032
NEVADA STATE BOARD OF MEDICAL EXAMINERS
NV
Enumeration date
07/16/2006
Last updated
04/28/2024
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