Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A141347 | CA |
N | 111NI0900X | Internist | A141347 | CA |
N | 207R00000X | Internist | LP02822 | RI |
N | 111NI0900X | Internist | LP02822 | RI |
Y | 207RC0200X | Critical Care Medicine | A141347 | CA |
N | 207RP1001X | Pulmonary Disease | A141347 | CA |
NPI | 1003253147 |
---|---|
Provider Name | Dr. Meghan Brady Marmor |
First Address | Stanford, CA 94305-2200 |
Second Address | Stanford, CA 94305-2200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2013 |
Last Update Date | 24/11/2021 |