Mark Daniel Pegram, MD | |
900 Blake Wilbur Dr, First Floor, Palo Alto, CA 94304-2201 | |
(650) 498-6004 | |
(650) 736-0607 |
Full Name | Mark Daniel Pegram |
---|---|
Gender | Male |
Speciality | Internal Medicine - Hematology & Oncology |
Location | 900 Blake Wilbur Dr, Palo Alto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356361554 | NPI | - | NPPES |
00A462210 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | A46221 (California) | Primary |
2086X0206X | Surgery - Surgical Oncology | A46221 (California) | Secondary |
Entity Name | Stanford Health Care |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
Mailing Address | Practice Location Address |
---|---|
Mark Daniel Pegram, MD 900 Blake Wilbur Dr, First Floor, Palo Alto, CA 94304-2201 Ph: (650) 498-6004 | Mark Daniel Pegram, MD 900 Blake Wilbur Dr, First Floor, Palo Alto, CA 94304-2201 Ph: (650) 498-6004 |
Daniel Joseph Razzano, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Palo Alto, CA 94304 Phone: 650-493-5000 | |
Mahnoosh Kuhbanani Seifoddini, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Va Palo Alto Health Care System (111stc), Palo Alto, CA 94304 Phone: 209-946-3400 | |
Dr. Yusra Nazar Hussain, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 770 Welch Rd, Suite # 250, Palo Alto, CA 94304 Phone: 650-328-1676 Fax: 650-445-0911 | |
Christopher Demuth Sharp, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 900 Blake Wilbur Dr, Palo Alto, CA 94304 Phone: 650-723-6028 Fax: 650-725-7078 | |
Dr. David Yao, M.D. Hematology & Oncology Medicare: Medicare Enrolled Practice Location: 3801 Miranda Ave, Medical Services (111a), Palo Alto, CA 94304 Phone: 650-493-5000 | |
Dr. Franklin Perry, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 2175 Park Blvd, Palo Alto, CA 94306 Phone: 650-330-3688 Fax: 650-330-3686 | |
Dr. Ryan Arthur Mcconnell, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 795 El Camino Real, Palo Alto, CA 94301 Phone: 650-853-2972 |