SearchCalifornia390200000X

Tatenda Chakoma

NPI 1508610874 · on the registry since 2024 · sole proprietor

Practice

Address
300 Pasteur Drive
Lane 154
Stanford, CA 94305
Phone
(650) 723-6661
Fax
(650) 498-6205
Organisation at this address
Gazebo Health
Stanford Hospital
Stanford Hospital
Stanford University
Stanford University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5,150

Additional practice sites

  • 3801 Miranda Ave, Palo Alto, CA
  • 751 S Bascom Ave, San Jose, CA

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California