Individual provider · NPI-1

Nikolas Hans Blevins, MD

Otolaryngology, Otology & Neurotology · Stanford, CA

NPI number1093863169
StatusActive
Last updated in NPPESApr 28, 2024

Details

NPI
1093863169
Entity type
Individual (NPI-1)
Name
Nikolas Hans Blevins
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 8, 2007
Certification date
Apr 28, 2024
Last updated
Apr 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0901X Otolaryngology, Otology & NeurotologyG68567CAYes
207Y00000X OtolaryngologyG68567CA
207YX0901X Otolaryngology, Otology & Neurotology6068567CA

Practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Phone 650-723-4000

Mailing address

801 Welch Rd
Stanford, CA 94305-5328

Phone 650-725-6500 · Fax 650-725-8502

Other practice locations

801 Welch Rd
Stanford, CA 94305-5328

Phone 650-725-6500 · Fax 650-725-8502

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