Individual provider · NPI-1

Eanas Fayez Abdelwahhab, PA-C

Physician Assistant · Stanford, CA

NPI number1114160967
StatusActive
Last updated in NPPESJun 11, 2024

Details

NPI
1114160967
Entity type
Individual (NPI-1)
Name
Eanas Fayez Abdelwahhab
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2009
Certification date
Jun 11, 2024
Last updated
Jun 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant20305CAYes

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

Other practice locations

2185 Pacheco St
Concord, CA 94520-2309

Phone 925-676-0505 · Fax 925-676-2814

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