Individual
ERIN CHEASTY GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
C194141
CA
2088P0231X
Pediatric Urology Physician
Primary
C194141
CA
2088P0231X
Pediatric Urology Physician
TL0004559
CO
Other
Enumeration date
10/24/2011
Last updated
07/12/2024
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