Provider Demographics
NPI:1396989711
Name:SHULTZ, DAVID BENJAMIN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:BENJAMIN
Last Name:SHULTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:837 COWPER STREET
Mailing Address - Street 2:APARTMENT E
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2817
Mailing Address - Country:US
Mailing Address - Phone:216-513-3738
Mailing Address - Fax:
Practice Address - Street 1:837 COWPER STREET
Practice Address - Street 2:APARTMENT E
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2817
Practice Address - Country:US
Practice Address - Phone:216-513-3738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA1133642085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology