DR. MICHAEL SIAVASH KHODADOUST (NPI# 1548573215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548573215 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SIAVASH KHODADOUST |
| Credential | M.D./PH.D. |
| Practice Address |
1804 Embarcadero Rd Suite 100 Palo Alto CA 94303-3341 |
| Mailing Address |
300 Pasteur Dr Stanford CA 94305-2200 |
| Practice Telephone | 6507234000 |
| Practice Fax Number | 6504985840 |
| Mailing Telephone | 6507234000 |
| Mailing Fax Number | 6504985840 |
| Enumeration Date | 2010-07-22 |
| Last Update Date | 2015-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A118295 | CA | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A118295 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
1804 EMBARCADERO RD SUITE 100 |
| City | PALO ALTO |
| State | CA |
| Zip Code | 94303-3341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528095296 | Kimford J Meador | Psychiatry & Neurology | 1804 Embarcadero Rd, Palo Alto, CA 94303-3341 | 2006-06-27 |
| 1669577557 | Catherine A. Egli | Pediatrics | 1804 Embarcadero Rd, Ste 100, Palo Alto, CA 94303-3341 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877590 | Sleep Apnea Surgery Center Inc. | Otolaryngology | 1900 University Avenue, East Palo Alto, CA 94303 | 2020-09-24 |
| 1528514759 | Healthright360 | Community/Behavioral Health | 2396 University Avenue, East Palo Alto, CA 94303 | 2016-08-28 |
| 1932652013 | Tala Sailele | Counselor | 2560 Pulgas Ave., East Palo Alto, CA 94303 | 2016-07-26 |
| 1952784308 | Lakshmi Leishangthem | Psychiatry & Neurology | Byers Eye Institute Stanford Health Care 2452 Watson Ct, 2452 Watson Court, Palo Alto, CA 94303 | 2015-07-02 |
| 1083041636 | Malaika House | Substance Abuse Rehabilitation Facility | 819 & 823 Jamie Lane, East Palo Alto, CA 94303 | 2013-09-27 |
| 1184913246 | Naeem Hashmi Medical Corporation | Internal Medicine | 957 Colonial Lane, Palo Alto, CA 94303 | 2011-03-29 |
| 1346550902 | Elizabeth A. Herb, M.d., A Professional Corporation | Clinic/Center | 851 Southampton Dr., Palo Alto, CA 94303 | 2010-10-18 |
| 1083878367 | Achievekids | Health Maintenance Organization | 3860 Middlefield Road, Achievekids, Palo Alto, CA 94303 | 2008-07-15 |
| 1528192895 | Susann Elizabeth Amborn | Psychologist | 1020 Corporation Way, Suite 201, Palo Alto, CA 94303 | 2007-03-16 |
| 1356409882 | Steven Richard Sanislo | Ophthalmology | 2452 Watson Court, Palo Alto, CA 94303 | 2006-12-05 |
| Find all providers in zip 94303 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962040089 | Dr. Taraneh Razavi, A Professional Corporation | Internal Medicine | 211 Quarry Rd Ste 203, Palo Alto, CA 94304-1416 | 2019-12-19 |
| 1376058818 | Gregory David Moon | Internal Medicine | 1843 Channing Ave, Palo Alto, CA 94303-3014 | 2017-12-06 |
| 1437684909 | Nadeem Elias Abou-arraj | Internal Medicine | 500 Pasteur Dr, Palo Alto, CA 94304-1048 | 2017-04-21 |
| 1700264330 | Varun Bipinchandra Shah | Internal Medicine | 300 Pasteur Dr # 5778, Palo Alto, CA 94305-2200 | 2015-05-14 |
| 1386030559 | Robert Kocher | Internal Medicine | 1870 Emerson St, Palo Alto, CA 94301-3717 | 2015-04-14 |
| 1669866620 | Matthew Stevenson | Internal Medicine | 3801 Miranda Avenue, Building 5, C365, Palo Alto, CA 94304 | 2015-03-26 |
| 1942624192 | Richard David Mamelok | Internal Medicine | 364 Churchill Ave, Palo Alto, CA 94301-3601 | 2014-02-08 |
| 1942649157 | Can Chen | Internal Medicine | 211 Quarry Rd # 402, Palo Alto, CA 94304 | 2013-06-20 |
| 1962848960 | Amy Chang | Internal Medicine | 300 Pasteur Dr Bldg 134, Palo Alto, CA 94304-2203 | 2013-05-16 |
| 1386900959 | Paul Marcus | Internal Medicine | 3801 Miranda Ave # Mc111, Palo Alto, CA 94304-1207 | 2012-04-07 |
| Find all providers in PALO ALTO | ||||
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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.