Shanafelt, Tait D

Shanafelt, Tait D is an individual health care provider with primary practice located at 300 Pasteur Dr , Stanford CA 94305-2200. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Shanafelt, Tait D can be contacted via phone (650) 723-4000.

Contact Information

Primary practice address
300 Pasteur Dr Stanford CA 94305-2200
Phone: (650) 723-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X C149730 California
Allopathic & Osteopathic Physicians / Hematology 207RH0000X C149730 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X C149730 California
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 44085 Minnesota
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C149730 California

Profile Details

NPI number 1295712677
LBN Legal business name Shanafelt, Tait D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295712677 NPPES
Minnesota MEDICAID 632660900

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