Whalio Doctors

NPI 1043407430

Tae Kyung Song, MD

Practitioner Vascular Surgery Physician Stanford, CA

Practice location

Address
300 Pasteur Dr Room H3600, Stanford, CA 94305-2200
Phone
(650) 723-3639

Registered specialties

Vascular Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2086S0129X Licence A81297 (CA)

Registry record

NPI
1043407430
Entity type
Individual
Sex (as registered)
Male
NPI issued
28 Sep 2007
Record last updated
30 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.