Campbell, Vida S

Campbell, Vida S is an individual health care provider with primary practice located at 795 El Camino Real , Palo Alto CA 94301-2302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Campbell, Vida S can be contacted via phone (650) 853-2955.

Contact Information

Primary practice address
795 El Camino Real Palo Alto CA 94301-2302
Phone: (650) 853-2955
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X G79049 California
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD00032481 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD0003241 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G79049 California

Profile Details

NPI number 1912983735
LBN Legal business name Campbell, Vida S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912983735 NPPES
Washington MEDICAID 8279051
Washington Other 300123267
Washington MEDICAID 00G790490
Washington Other 300121747

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