Tae Kyung Song, M.D. is a vascular surgery surgery in Stanford, CA with 23 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Tae Kyung Song, M.D. NPI is 1043407430. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduation Year:2001
The provider's business location address is:
300 PASTEUR DR
ROOM H3600
STANFORD, CA
ZIP 94305-200
Phone: (650) 723-3639
The NPI 1043407430 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/28/2007 and was last updated on 11/30/2021.