Dormady, Shane Paul

Dormady, Shane Paul is an individual health care provider with primary practice located at 2505 Hospital Dr , Mountain View CA 94040-4127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Dormady, Shane Paul can be contacted via phone (650) 988-8338.

Contact Information

Primary practice address
2505 Hospital Dr Mountain View CA 94040-4127
Phone: (650) 988-8338
Fax: (650) 962-4594
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X A87232 California

Profile Details

NPI number 1417024654
LBN Legal business name Dormady, Shane Paul
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Nov 11th, 2020 - about 4 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 1417024654 NPPES
California MEDICAID 00A872320
California Other 00A872321

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