DR. KRISTEN NOOSHIN GANJOO (NPI# 1669563391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669563391 |
| Entity Type | Individual |
| Full Name | DR. KRISTEN NOOSHIN GANJOO |
| Credential | MD |
| Practice Address |
875 Blake Wilbur Drive Clinic B Stanford CA 94305 |
| Practice Telephone | 6504986000 |
| Mailing Telephone | 6504986000 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2011-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
A85404 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
875 BLAKE WILBUR DRIVE CLINIC B |
| City | STANFORD |
| State | CA |
| Zip Code | 94305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932135290 | Melinda L Telli | Internal Medicine | 875 Blake Wilbur Drive, Mc 5820, Stanford, CA 94305 | 2006-06-25 |
| 1659829059 | Michelle S. Gonzales | Nurse Practitioner | 875 Blake Wilbur Drive, Cc-1314, Stanford, CA 94305 | 2016-09-14 |
| 1831569391 | Misty Mahaffey | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2015-09-28 |
| 1104200575 | Vinay Thomas Fernandes | Otolaryngology | 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 | 2015-07-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1043589880 | Sara Aileen Dudley | Student in an Organized Health Care Education/Training Program | 875 Blake Wilbur Drive, Cc-g222, Stanford, CA 94305-5847 | 2011-12-23 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1083918445 | Maricris Bertolano Dacumos | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2010-12-28 |
| 1164737318 | Scott Victor Bratman | Radiology | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5847 | 2010-08-12 |
| Find all providers in the same location | ||||
| 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 | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285992230 | Nathaniel James Myall | Internal Medicine | 300 Pasteur Drive, Grant S101, Stanford, CA 94305-5109 | 2012-04-27 |
| 1194784371 | Klaus Joachim Porzig | Internal Medicine | Stanford University Medical Center, 300 Oasteur Dr., Stanford, CA 94305 | 2006-03-17 |
| 1639589567 | Michael Alexander Spinner | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2014-04-30 |
| 1083908289 | John Juheon Lee | Internal Medicine | 265 Campus Dr, Sim1, Rm G3115, Stanford, CA 94305-5463 | 2011-06-06 |
| 1720253941 | Rajat Rohatgi | Internal Medicine | 875 Blake Wilbur Drive, Stanford, CA 94305-8796 | 2008-04-29 |
| 1801922604 | James M. Ford | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2007-02-26 |
| 1720137094 | Heather Ann Wakelee | Internal Medicine | 875 Blake Wilbur Dr, Stanford Cancer Center, Stanford, CA 94305-5826 | 2007-01-09 |
| 1346303716 | Sheena K Aurora | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2006-12-18 |
| 1609983485 | Andrew R Rezvani | Internal Medicine | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2006-08-25 |
| 1962428649 | Frank Edward Stockdale | Internal Medicine | 875 Blake Wilbur Dr, Stanford, CA 94305-5826 | 2006-07-14 |
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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.