Provider Demographics
NPI:1598792079
Name:CORNFIELD, DAVID NACHUM (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:NACHUM
Last Name:CORNFIELD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:725 WELCH RD
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1601
Mailing Address - Country:US
Mailing Address - Phone:650-497-8000
Mailing Address - Fax:650-498-5560
Practice Address - Street 1:770 WELCH RD
Practice Address - Street 2:SUITE 350
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1511
Practice Address - Country:US
Practice Address - Phone:650-723-5227
Practice Address - Fax:650-498-5560
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN36250208000000X, 2080P0214X
CAG875932080P0203X, 2080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0052309Medicaid
MN103695OtherUCARE
MNHP13091OtherHEALTHPARTNERS
MN48-70027OtherMEDICA PRIMARY
MN48-29746OtherMEDICA CHOICE
MN768072OtherARAZ
MN1009080OtherPREFERRED ONE
MN8F752COOtherBCBS
MN103695OtherUCARE
MN48-29746OtherMEDICA CHOICE
MT0052309Medicaid
MNHP13091OtherHEALTHPARTNERS