Individual
DR. SHRAVANI PASUPNETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
300 PASTEUR DR RM H3143, MC: 5236, STANFORD, CA 94305-2200
(650) 723-6381
Mailing address
300 PASTEUR DR RM H3143, MC: 5236, STANFORD, CA 94305-2200
(650) 723-6381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.059375
IL
207R00000X
Internal Medicine Physician
A130386
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A130386
CA
207RP1001X
Pulmonary Disease Physician
A130386
CA
Other
Enumeration date
06/21/2011
Last updated
11/24/2021
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