Shanafelt, Tait D
Shanafelt, Tait D is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Shanafelt, Tait D can be contacted via phone (650) 723-4000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | C149730 | California |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | C149730 | California |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C149730 | California |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 44085 | Minnesota |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | C149730 | California |
Profile Details
| NPI number | 1295712677 |
|---|---|
| LBN Legal business name | Shanafelt, Tait D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Apr 16th, 2024 - about 8 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295712677 | NPPES |
| Minnesota | MEDICAID | 632660900 |
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