Vanderbilt, Douglas Lee

Vanderbilt, Douglas Lee is an individual health care provider with primary practice located at 725 Welch Rd , Palo Alto CA 94304-1601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Vanderbilt, Douglas Lee can be contacted via phone (650) 497-8000.

Contact Information

Primary practice address
725 Welch Rd Palo Alto CA 94304-1601
Phone: (650) 497-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X A75123 California
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 213549 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A75123 California

Profile Details

NPI number 1457340291
LBN Legal business name Vanderbilt, Douglas Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Aug 11th, 2026 - about 2 months 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 1457340291 NPPES
Massachusetts MEDICAID 0179540

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