# MARLYS R DRANGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1891787479
- **Gender:** F
- **Credential:** MD,PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | A54654 | CA | Yes |

## Other

- **Enumeration date:** 08/18/2005
- **Last updated:** 05/02/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A546540 | BLUE SHIELD OF CA PROVIDE | CA |
| 01 | — | 7923140 | AETNA PROVIDER \# | CA |
| 01 | — | P00101088 | RAILROAD BOARD PROVIDER \# | CA |