DANICA WIREDJA MD NPI 1811459696

NPI Information

  • NPI: 1811459696
  • Provider Name: DANICA WIREDJA, MD
  • Classification: Pathology - 207ZP0007X
  • Specialization: Molecular Genetic Pathology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 300 PASTEUR DRIVE
    EDWARDS BUILDING, R204
    STANFORD, CA
    ZIP 94305
  • Phone: (650) 721-5755

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NPI Details

Danica Wiredja, MD is a molecular genetic pathology pathology in Stanford, CA with 7 years of experience. The provider is a molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders. Danica Wiredja, MD NPI is 1811459696. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 PASTEUR DRIVE
EDWARDS BUILDING, R204
STANFORD, CA
ZIP 94305-245
Phone: (650) 721-5755

The NPI 1811459696 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 4/2/2019 and was last updated on 8/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207ZP0007XPathologyMolecular Genetic PathologyDR.0071377COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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