Healthcare Provider Details

I. General information

NPI: 1700805389
Provider Name (Legal Business Name): WARE KUSCHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE MAIL STOP 111P
PALO ALTO CA
94304-1207
US

IV. Provider business mailing address

3801 MIRANDA AVENUE MAIL STOP 111P
PALO ALTO CA
94304
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax: 650-852-3276
Mailing address:
  • Phone: 650-493-5000
  • Fax: 650-852-3276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberG074355
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberG074355
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: