Provider Demographics
NPI:1912034240
Name:KNOX, SUSAN JANE (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:JANE
Last Name:KNOX
Suffix:
Gender:F
Credentials:MD,PHD
Other - Prefix:MRS
Other - First Name:SUSAN
Other - Middle Name:JANE
Other - Last Name:PILLSBURY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,PHD
Mailing Address - Street 1:1050 ARASTRADERO RD BLDG A
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1334
Mailing Address - Country:US
Mailing Address - Phone:650-725-2720
Mailing Address - Fax:650-723-7254
Practice Address - Street 1:875 BLAKE WILBUR DR
Practice Address - Street 2:DEPT. RADIATION ONCOLOGY - CANCER CENTER
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-2205
Practice Address - Country:US
Practice Address - Phone:650-723-6171
Practice Address - Fax:650-725-8231
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2013-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG586232085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF09256Medicare UPIN