Individual
DR. SHANE PAUL DORMADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
555 KNOWLES DR STE 200, LOS GATOS, CA 95032-1551
(408) 866-3989
(650) 962-4592
Mailing address
2505 HOSPITAL DR, MOUNTAIN VIEW, CA 94040-4127
(650) 988-8338
(650) 962-4594
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
A87232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A872320
—
CA
01
—
00A872321
MEDICARE RAILROAD
CA
Enumeration date
11/30/2006
Last updated
04/10/2026
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