Individual
MARY V. PALATHUMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
39400 PASEO PADRE PKWY, FREMONT, CA 94538-2310
(510) 795-3000
Mailing address
1800 HARRISON ST FL 7, OAKLAND, CA 94612-3466
(510) 625-6262
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A43413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A434130
—
CA
Enumeration date
10/25/2006
Last updated
11/30/2021
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