Individual
MARA SPARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2500 GRANT RD, MOUNTAIN VIEW, CA 94040-4302
(650) 940-7000
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A113613
CA
208M00000X
Hospitalist Physician
Primary
A113613
CA
Other
Enumeration date
06/24/2009
Last updated
10/18/2024
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