Provider Demographics
NPI:1336220201
Name:KAY, ALEXANDER W (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:W
Last Name:KAY
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 1:300 PASTEUR DRIVE
Mailing Address - Street 2:ROOM G312
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305
Mailing Address - Country:US
Mailing Address - Phone:650-556-4142
Mailing Address - Fax:650-725-8040
Practice Address - Street 1:300 PASTEUR DRIVE
Practice Address - Street 2:ROOM G312
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305
Practice Address - Country:US
Practice Address - Phone:650-556-4142
Practice Address - Fax:650-725-8040
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2012-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA114759207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine