| Doctor Name: | DR. HEIDI DAMBACH |
| NPI Number: | 1023290582 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MD-16061 |
| Business Practice Address: | 795 Willow Rd Building 334; Room C200-p Menlo Park, CA - 940252539 |
| Business Phone Number: | 6126297124 |
| Business Fax Number: | |
| Mailing Address: | 795 Willow Rd, Building 334; Room C200-p MENLO PARK |
| State: | CA |
| Postal Code: | 940252539 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/27/2007 |
| NPI Last Update Date: | 05/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | MD-16061 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | HI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |