Individual
SAFWAN SALIM JARADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
Taxonomy
Speciality
Code
Description
License number
State
204R00000X
Electrodiagnostic Medicine Physician
C54540
CA
2084N0400X
Neurology Physician
C54540
CA
2084N0400X
Neurology Physician
NEUROLOGY
WI
2084N0600X
Clinical Neurophysiology Physician
Primary
C54540
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
022000121G
HUMANA
—
05
—
31615000
—
WI
Enumeration date
05/15/2006
Last updated
11/10/2023
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