Healthcare Provider Details

I. General information

NPI: 1831329101
Provider Name (Legal Business Name): MONICA GROVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR RM: G313 - MC 5208
STANFORD CA
94305-2200
US

IV. Provider business mailing address

300 PASTEUR DR RM: G313 - MC 5208
STANFORD CA
94305-2200
US

V. Phone/Fax

Practice location:
  • Phone: 650-498-7351
  • Fax:
Mailing address:
  • Phone: 650-498-7351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA136582
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number0101254366
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberN9866
License Number StateTX
# 4
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberA136582
License Number StateCA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: