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Individual

REVATI SHREENIWAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
819 SUTTER AVE, PALO ALTO, CA 94303-3942
(165) 071-4445
(650) 856-0446

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
C50034
CA

Other

Enumeration date
02/24/2007
Last updated
04/04/2008
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