Individual
DHARA MING MACDERMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 S SAN MATEO DR, SAN MATEO, CA 94401
(650) 696-4509
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 696-4509
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
266560
MA
2085R0001X
Radiation Oncology Physician
Primary
A102959
CA
2085R0001X
Radiation Oncology Physician
MD159664
OR
Other
Enumeration date
04/16/2008
Last updated
06/23/2020
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