Individual provider · Type 1 NPI

Tae Kyung Song, MD

Vascular Surgery Physician · Stanford, CA

NPI number 1043407430 Active

Practice location

300 Pasteur Dr, Room H3600
Stanford, CA 94305-2200

Call (650) 723-3639 Map

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XA81297 (CA)

Vascular Surgery Physician: 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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About NPI 1043407430

Tae Kyung Song, MD's National Provider Identifier is 1043407430, issued on Sep 28, 2007. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Stanford, CA. The record was last updated on Nov 30, 2021.