Individual
ANNA MRELASHVILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
39650 LIBERTY ST, FREMONT, CA 94538-2223
(408) 524-5700
(408) 523-3625
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(408) 524-5700
(408) 523-3625
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
38616
SC
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A161653
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386166
—
SC
Enumeration date
07/22/2010
Last updated
04/14/2021
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