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Individual Provider

CHISOM AGBIM, MD

NPI 1740675529 Active Pediatrics, Pediatric Emergency Medicine
Quick Facts
NPI Number
1740675529
Type
Individual (NPI-1)
Credential
MD
Status
Active
Enumeration Date
2015-03-30
Last Updated (NPPES)
2024-03-14

Primary Specialty / Taxonomy

TaxonomyPediatrics, Pediatric Emergency Medicine
Taxonomy Code2080P0204X
LicenseA144709 CA

Other Taxonomies

  • Pediatrics — License A144709
  • Pediatrics, Pediatric Emergency Medicine — License DR.0065890
  • Pediatrics, Pediatric Emergency Medicine — License MD046104

Practice Address

300 PASTEUR DR
STANFORD, CA 943052200

Phone: 650-723-4000

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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