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Chetan Ambastha
Student in an Organized Health Care Education/Training Program in Stanford, California
NPI 1275279648

Chetan Ambastha is a Student in an Organized Health Care Education/Training Program based in Stanford, CA. Chetan Ambastha practices in Stanford, CA. The NPI Number for Chetan Ambastha is 1275279648 and holds a License No. (California).

The current practice location address for Chetan Ambastha is 300 Pasteur Drive, Lane 154, Stanford, CA and can be reached out via phone at 650-723-6661 and via fax at 650-498-6205.

Location: 300 Pasteur Drive, Lane 154, Stanford, CA, 94305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275279648
Provider Name
Chetan Ambastha
Credential
Provider Entity Type
Individual
Gender
Male
Address
300 Pasteur Drive, Lane 154, Stanford, CA, 94305
Phone Number
650-723-6661
Fax Number
650-498-6205
Provider Enumeration Date
05/09/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
300 Pasteur Drive, Lane 154
City
Stanford
State
California
Zip
94305
Phone Number
650-723-6661
Fax Number
650-498-6205
person
Provider Business Mailing Address Details
Address
300 Pasteur Drive, Lane 154
City
Stanford
State
California
Zip
94305
Phone Number
650-723-6661
Fax Number
650-498-6205
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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