Provider Demographics
NPI:1326113929
Name:DAHLSTROM, ANDERS KARL (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:ANDERS
Middle Name:KARL
Last Name:DAHLSTROM
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Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:1804 EMBARCADERO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3341
Mailing Address - Country:US
Mailing Address - Phone:408-358-3573
Mailing Address - Fax:408-356-2888
Practice Address - Street 1:2577 SAMARITAN DR
Practice Address - Street 2:STE 815
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124
Practice Address - Country:US
Practice Address - Phone:408-358-3573
Practice Address - Fax:408-356-2888
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2017-01-06
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Provider Licenses
StateLicense IDTaxonomies
CAA52400208000000X, 2080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics