Tae Kyung Song
Vascular Surgeon
300 Pasteur Dr Room H3600
Stanford
, California 94305-2200
Tae Kyung Song
Vascular Surgeon
300 Pasteur Dr Room H3600
Stanford
, California 94305-2200
(650) 723-3639
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About
Features
Specialties
- Vascular Surgeon
Languages spoken
- English
Location
First Address
- Tae Kyung Song
- 300 Pasteur Dr Room H3600
- Stanford, CA
- Zip : 94305-2200
- Phone : (650) 723-3639
Second Address
- Tae Kyung Song
- 300 Pasteur Dr Room H3600
- Stanford, CA
- Zip : 94305-2200
- Phone : (650) 723-3639
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0129X | Vascular Surgeon | A81297 | CA |
National Provider Identifier
| NPI | 1043407430 |
|---|---|
| Provider Name | Tae Kyung Song |
| 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 | 28/09/2007 |
| Last Update Date | 30/11/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.