Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATIANA MARIE MAMANTOV, MD
ActiveTATIANA MARIE MAMANTOV, MD is a Emergency Medicine healthcare provider located in CASTRO VALLEY, California. NPI 1629069059 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · CASTRO VALLEY, CA
Registration Details
- NPI Number
- 1629069059
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 3, 2005 (20.800096351215 yrs)
- Last Updated
- Jul 30, 2008
- License
-
G85179 (CA)
Practice Information
- Address
-
20103 LAKE CHABOT RDCASTRO VALLEY, CA, 945465341Browse CA providers · Browse ZIP 94546
- Phone
- 2093422300
- Fax
- 2095244240
- Primary Specialty
-
Emergency Medicine
207P00000X
Other Emergency Medicine Providers in CASTRO VALLEY, CA
| Name | Credential | NPI |
|---|---|---|
| DAVID EMMANUEL MOYAL | PA | 1548251960 |
| EVAN TAYLOR WYTHE | MD | 1013908433 |
| ROCHELLE ANA EGGLESTON PHILAPIL | MD | 1265423610 |
| ALAN RUSS GOTTLIEB | MD | 1306837521 |
| MERRILL A CHANDLER | MD | 1508847237 |
| PETER GLENN JOSEPH | MD | 1396729158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.