Provider Demographics
NPI:1821144320
Name:GALEL, SUSAN A (MD)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:A
Last Name:GALEL
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 PASTEUR DR RM L235
Mailing Address - Street 2:DEPARTMENT OF PATHOLOGY
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-2597
Mailing Address - Fax:650-725-4470
Practice Address - Street 1:3373 HILLVIEW AVE
Practice Address - Street 2:BLOOD CENTER
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1204
Practice Address - Country:US
Practice Address - Phone:650-723-2597
Practice Address - Fax:650-725-4470
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG42858207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G428580Medicaid
CA00G428580Medicare ID - Type Unspecified
CA00G428580Medicaid