Provider Demographics
NPI:1063550747
Name:KAPP, DANIEL STUART (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:STUART
Last Name:KAPP
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Gender:M
Credentials:MD
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Mailing Address - Street 1:875 BLAKE WILBUR DR.,
Mailing Address - Street 2:MC 5847
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-5847
Mailing Address - Country:US
Mailing Address - Phone:650-723-6171
Mailing Address - Fax:650-725-8231
Practice Address - Street 1:875 BLAKE WILBUR DR.,
Practice Address - Street 2:MC 5847
Practice Address - City:STANFORD
Practice Address - State:CA
Practice Address - Zip Code:94305-5847
Practice Address - Country:US
Practice Address - Phone:650-723-6171
Practice Address - Fax:650-725-8231
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA00G270402085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF08504Medicare UPIN