Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | A144572 | CA |
Y | 208600000X | Surgeon | A144572 | CA |
N | 2086X0206X | Surgical Oncologist | 144572 | CA |
NPI | 1467656249 |
---|---|
Provider Name | Dr. Amanda R. Kirane |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 23/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
BP1-0026545 | INSTITUTIONAL PERMIT (01) |