MEDICARE: DR. KENNETH HADLER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	G048649	CA

General Provider Information

NPI Number	:	1093884447
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KENNETH HADLER M.D.

Provider Business Mailing Address
First Line	:	2325 EL CAMINO REAL
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-1620
Country	:	US
Telephone Number	:	650-617-1849
Fax Number	:	650-327-2234

Provider Business Practice Location Address
First Line	:	2325 EL CAMINO REAL
Second Line	:
City	:	PALO ALTO
State	:	CA
Zip	:	94306-1620
Country	:	US
Telephone Number	:	650-617-1849
Fax Number	:	650-327-2234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/01/2022

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