MAHKAM TAVALLAEE (NPI# 1891150397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891150397 |
| Entity Type | Individual |
| Full Name | MAHKAM TAVALLAEE |
| Credential | M.D., M.P.H. |
| Practice Address |
300 Pasteur Dr Rm L235 Stanford CA 94305-2200 |
| Practice Telephone | 6507235252 |
| Mailing Telephone | 6507235252 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2018-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 154555 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
300 PASTEUR DR RM L235 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144378712 | Terri L Haddix | Pathology | 300 Pasteur Dr Rm L235, Pathology, Stanford, CA 94305-2200 | 2007-01-08 |
| 1992264188 | Jeffrey John Nirschl | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm L235, Stanford, CA 94305-2200 | 2019-03-18 |
| 1376018606 | Michael Cleary | Pathology | 300 Pasteur Dr Rm L235, Stanford, CA 94305-2200 | 2018-10-13 |
| 1447660154 | Steven Andrew Baker | Pathology | 300 Pasteur Dr Rm L235, Stanford, CA 94305-2200 | 2014-05-02 |
| 1669892105 | Soo Ryum Yang | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr Rm L235, Stanford, CA 94305-2200 | 2014-04-23 |
| 1124464300 | Dylan Dodd | Pathology | 300 Pasteur Dr Rm L235, Stanford, CA 94305-2200 | 2013-05-15 |
| 1811022213 | Susan K. Atwater | Pathology | 300 Pasteur Dr Rm L235, Department of Pathology, Stanford, CA 94305-2200 | 2007-02-23 |
| 1184768855 | Norman L. Lehman | Pathology | 300 Pasteur Dr Rm L235, Department of Pathology, Stanford, CA 94305-2200 | 2007-02-16 |
| 1922149756 | Sharon M. Geaghan | Pathology | 300 Pasteur Dr Rm L235, Department of Pathology, Stanford, CA 94305-2200 | 2007-02-12 |
| 1962558536 | Roger A. Warnke | Pathology | 300 Pasteur Dr Rm L235, Department of Pathology, Stanford, CA 94305-2200 | 2007-01-26 |
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| 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 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851701049 | Chrislyn Leigh White | Obstetrics & Gynecology | 300 Pasteur Dr Rm Hh333, Department of Obstetrics and Gynecology, Stanford, CA 94305-2200 | 2014-04-28 |
| 1891119046 | Charlotte Lea Conturie | Obstetrics & Gynecology | 300 Pasteur Dr Ste G332, Stanford, CA 94305-2200 | 2014-02-07 |
| 1225336134 | Margaret Ann Baumbusch Brooks | Obstetrics & Gynecology | 300 Pasteur Dr Rm G3333, Stanford, CA 94305-2200 | 2011-03-02 |
| 1447583877 | Anna Lea Altshuler | Obstetrics & Gynecology | 300 Pasteur Dr # Hg332, Stanford, CA 94305-2200 | 2009-09-17 |
| 1578790127 | Rachel Ellen Chan Seay | Obstetrics & Gynecology | 300 Pasteur Dr Rm H335, Stanford, CA 94305-2200 | 2009-06-22 |
| 1487836052 | Brooke Friedman | Obstetrics & Gynecology | 300 Paasteur Dr., Rm Hh333, Stanford, CA 94305-5317 | 2007-12-05 |
| 1174722417 | Diana Tahereh Atashroo | Obstetrics & Gynecology | 300 Pasteur Dr Rm Hg332, Stanford, CA 94305-2200 | 2007-07-17 |
| 1558421768 | Ylayaly K Bianco | Obstetrics & Gynecology | 300 Pasteur Dr Rm G302, 5317, Stanford, CA 94305-2200 | 2006-12-11 |
| 1578508412 | Leslee L. Subak | Obstetrics & Gynecology | 300 Pasteur Dr Ofc G-303a, Stanford, CA 94305-2200 | 2006-06-17 |
| 1972005627 | George E Hilaris | Obstetrics & Gynecology | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2018-03-08 |
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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.