Healthcare Provider Details

I. General information

NPI: 1548352909
Provider Name (Legal Business Name): STEVEN E ARTANDI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 04/06/2020
Certification Date: 04/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

269 CAMPUS DR CCSR RM. 1155, MC 5156
STANFORD CA
94305-5101
US

IV. Provider business mailing address

269 CAMPUS DR CCSR RM. 1155, MC 5156
STANFORD CA
94305-5101
US

V. Phone/Fax

Practice location:
  • Phone: 650-736-0975
  • Fax: 650-736-0974
Mailing address:
  • Phone: 650-736-0975
  • Fax: 650-736-0974

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberG86580
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License NumberG86580
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: