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Tatiana Marie Mamantov, MD
Emergency Medicine Physician in Castro Valley, California
NPI 1629069059

Tatiana Marie Mamantov is a Emergency Medicine Physician based in Modesto, CA. Tatiana Marie Mamantov practices in Castro Valley, CA and has the professional credentials of MD. The NPI Number for Tatiana Marie Mamantov is 1629069059 and holds a License No. G85179 (California).

The current practice location address for Tatiana Marie Mamantov is 20103 Lake Chabot Rd, Castro Valley, CA and can be reached out via phone at 209-342-2300 and via fax at 209-524-4240.

Location: 20103 Lake Chabot Rd, Castro Valley, CA, 95356-9262
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629069059
Provider Name
Tatiana Marie Mamantov
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
20103 Lake Chabot Rd, Castro Valley, CA, 95356-9262
Phone Number
209-342-2300
Fax Number
209-524-4240
Provider Enumeration Date
11/03/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G851790 01 CA BLUE SHIELD
00G851790 05 CA
institution
Provider Business Practice Location Address Details
Address
20103 Lake Chabot Rd
City
Castro Valley
State
California
Zip
94546-5341
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider Business Mailing Address Details
Address
20103 Lake Chabot Rd
City
Castro Valley
State
California
Zip
94546-5341
Phone Number
209-342-2300
Fax Number
209-524-4240
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
G85179 (California)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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