Pegram, Mark Daniel
Pegram, Mark Daniel is an individual health care provider with primary practice located at 300 Pasteur Dr Fl 1 , Stanford CA 94305-2200. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Pegram, Mark Daniel can be contacted via phone (650) 723-4000.Contact Information
Primary practice address
300 Pasteur Dr Fl 1
Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A46221 | California |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | A46221 | California |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | A46221 | California |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | A46221 | California |
Profile Details
| NPI number | 1356361554 |
|---|---|
| LBN Legal business name | Pegram, Mark Daniel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Apr 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356361554 | NPPES |
| California | MEDICAID | 00A462210 |
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