Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 2018035261 | MO |
N | 2080P0204X | Pediatric Emergency Doctor | 2018035261 | MO |
NPI | 1073033007 |
---|---|
Provider Name | Dr. Sheila Razdan |
First Address | Palo Alto, CA 94304-1510 |
Second Address | Palo Alto, CA 94304-1510 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2017 |
Last Update Date | 30/06/2021 |