Individual
MARA RENEE GIATTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 CRANE ST, MENLO PARK, CA 94025-4260
(650) 498-6500
Mailing address
1300 CRANE ST, MENLO PARK, CA 94025-4260
(650) 498-6500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A108506
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A108506
CA
207RI0011X
Interventional Cardiology Physician
A108506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
468269
TUFTS MEDICARE PREFERRED
MA
01
—
CB382Z
MEDICARE PTAN
CA
Enumeration date
05/01/2006
Last updated
04/15/2024
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