DR. PHUONG KHUU (NPI# 1528259744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528259744 |
| Entity Type | Individual |
| Full Name | DR. PHUONG KHUU |
| Credential | M.D. |
| Practice Address |
900 Blake Wilbur Dr Rm W0069 Stanford CA 94305 |
| Mailing Address |
991 Park Pacifica Ave Pacifica CA 94044-4414 |
| Practice Telephone | 6507239913 |
| Mailing Telephone | 6507239913 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
A87498 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
900 BLAKE WILBUR DR RM W0069 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
| Find all providers in zip 94305 | ||||
| Taxonomy Code | 207NP0225X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Pediatric Dermatology |
| A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: changed definition, added source] Additional Resources: American Board of Dermatology, 2007, http://www.abderm.org/ A subspecialty certificate was approved by ABMS in 2000. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295290567 | Coastal Family Dermatology, PC | Dermatology | 892 Aerovista Pl Ste 120, San Luis Obispo, CA 93401-8054 | 2019-01-31 |
| 1700371275 | Icecreamwala Dermatology Inc | Dermatology | 2435 Webster St Ste 101, Berkeley, CA 94705 | 2018-06-27 |
| 1881989325 | Heather Irina Rishel | Dermatology | 345 W Portal Ave Ste 320, San Francisco, CA 94127-1429 | 2011-06-13 |
| 1396984423 | Marcia J Glenn Md & Associates Dermatology & Laser Med Ctr Inc | Dermatology | 4644 Lincoln Blvd Ste 500, Marina Del Rey, CA 90292-6391 | 2009-02-12 |
| 1932195567 | Neil Frank Gibbs | Dermatology | 34520 Bob Wilson Dr, Dermatology Department, Naval Medical Center, San Diego, CA 92134-2300 | 2005-09-20 |
| 1467811653 | Valley Children's Medical Group - Dept of Dermatology | Dermatology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2016-02-16 |
| 1447620539 | Valley Children's Specialty Medical Group - Dept of Dermatology | Dermatology | 9300 Valley Childrens Pl, Madera, CA 93636-8761 | 2015-10-01 |
| 1437594884 | Jessica Sprague | Dermatology | 8010 Frost St Ste 602, San Diego, CA 92123 | 2013-04-29 |
| 1366725590 | Pediatric Dermatology of Orange County PC | Dermatology | 3500 Barranca Pkwy, Ste 160, Irvine, CA 92606-8226 | 2011-09-23 |
| 1245479385 | Dong L Chang M D | Dermatology | 100 N Santa Anita Ave, Arcadia, CA 91006-3108 | 2009-02-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.