NPI 1043407430
Tae Kyung Song, MD
Practice location
- Address
- 300 Pasteur Dr Room H3600, Stanford, CA 94305-2200
- Phone
- (650) 723-3639
Registered specialties
Vascular Surgery Physician
Primary
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.