| NPI | 1609986777 |
|---|---|
| Former Legal Business Name | IVERSON & STANTEN CARDIAC & THORACIC SURGERY MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | JUNAID HAMEED KHAN Managing Partner 510-465-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-03-10 |