Healthcare Provider Details

I. General information

NPI: 1073195608
Provider Name (Legal Business Name): GERALD CHUNT-SEIN TIU MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR BLDG L235
STANFORD CA
94305-2200
US

IV. Provider business mailing address

750 WELCH RD STE 200
PALO ALTO CA
94304-1509
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-4000
  • Fax:
Mailing address:
  • Phone: 650-723-5535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberGERALDCTIU
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: