Individual provider · NPI-1

Niaz Banaei

Pathology, Anatomic Pathology & Clinical Pathology · Stanford, CA

NPI number1508029091
StatusActive
Last updated in NPPESMar 26, 2024

Details

NPI
1508029091
Entity type
Individual (NPI-1)
Name
Niaz Banaei
Sex
Male
Sole proprietor
No
Enumeration date
Jul 6, 2008
Certification date
Mar 26, 2024
Last updated
Mar 26, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical PathologyA81192CAYes
207ZC0006X Pathology, Clinical PathologyA81192CA

Other names

  • Niaz Banaiee (Former Name)

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

3375 Hillview Ave
Rm. 1602
Palo Alto, CA 94304-1204

Phone 650-736-8052

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