Individual
EDMUND TAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7600
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(408) 730-2800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
G50493
CA
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
G50493
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G50493
CA
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
G50493
CA
Other
Enumeration date
07/30/2006
Last updated
01/13/2021
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