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Tae Kyung Song, MD
Vascular Surgery Physician in Stanford, California
NPI 1043407430

Tae Kyung Song is a Vascular Surgery Physician based in Stanford, CA and is specialized in Vascular Surgery. Tae Kyung Song practices in Stanford, CA and has the professional credentials of MD. The NPI Number for Tae Kyung Song is 1043407430 and holds a License No. A81297 (California).

The current practice location address for Tae Kyung Song is 300 Pasteur Dr, Stanford, CA and can be reached out via phone at 650-723-3639.

Location: 300 Pasteur Dr, Stanford, CA, 94305-2200
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043407430
Provider Name
Tae Kyung Song
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Dr, Stanford, CA, 94305-2200
Phone Number
650-723-3639
Fax Number
Provider Enumeration Date
09/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-3639
Fax Number
person
Provider Business Mailing Address Details
Address
300 Pasteur Dr
City
Stanford
State
California
Zip
94305-2200
Phone Number
650-723-3639
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
A81297 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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