Groenewald, Cornelius Botha

Groenewald, Cornelius Botha is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Groenewald, Cornelius Botha can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49730 Minnesota
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X MD 60217883 Washington
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X C191676 California
Allopathic & Osteopathic Physicians / Surgery 208600000X 49730 Minnesota
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C191676 California

Profile Details

NPI number 1306988019
LBN Legal business name Groenewald, Cornelius Botha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Apr 10th, 2024 - about last year

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 1306988019 NPPES
Minnesota MEDICAID 927687000

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