Individual provider · NPI-1

Siddhartha Jaiswal, MD, PHD

Pathology, Anatomic Pathology & Clinical Pathology · Stanford, CA

NPI number1053632299

StatusActive

Last updated in NPPESMar 14, 2024

Details

NPI: 1053632299
Entity type: Individual (NPI-1)
Name: Siddhartha Jaiswal
Credential: MD, PHD
Sex: Male
Sole proprietor: No
Enumeration date: Jun 22, 2010
Certification date: Mar 14, 2024
Last updated: Mar 14, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	A151796	CA	Yes
207ZC0006X	Pathology, Clinical Pathology	A151796	CA
207ZP0102X	Pathology, Anatomic Pathology & Clinical Pathology	L-243904	MA

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

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