Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MT200226 | PA |
N | 2080P0202X | Pediatric Cardiologist | MT200226 | PA |
Y | 2080P0203X | Pediatric Critical Care Doctor | MT200226 | PA |
NPI | 1235424813 |
---|---|
Provider Name | Anjuli Sinha Campbell |
First Address | Palo Alto, CA 94304-1507 |
Second Address | Palo Alto, CA 94304-1507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 21/08/2020 |