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Individual

JOHN THAVERTHUNDIYIL BENJAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
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
208000000X
Pediatrics Physician
C195299
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
26601
AL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C195299
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD48419
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00179031
MS
05
009942750
AL
05
280170100
FL
01
51541110
BCBS
AL
Enumeration date
03/16/2007
Last updated
03/13/2025
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