Healthcare Provider Details

I. General information

NPI: 1801018585
Provider Name (Legal Business Name): EHAB E SORIAL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 BON AIR RD
GREENBRAE CA
94904-1702
US

IV. Provider business mailing address

300 PASTEUR DR H3600 MC5642
STANFORD CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 415-925-7000
  • Fax:
Mailing address:
  • Phone: 650-723-3639
  • Fax: 650-498-6044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License NumberA80654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: