Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 44711 | CO |
Y | 2080P0205X | Pediatric Endocrinologist | C145798 | CA |
NPI | 1205853884 |
---|---|
Provider Name | Dr. David Matthew Maahs |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 10/11/2016 |