Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | A130241 | CA |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | A130241 | CA |
NPI | 1164696035 |
---|---|
Provider Name | Dr. Chad Robbins Brodt |
First Address | Los Altos, CA 94022-1408 |
Second Address | East Palo Alto, CA 94303-2250 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2008 |
Last Update Date | 30/12/2019 |