Tatiana Marie Mamantov, MD is an emergency medicine in Castro Valley, CA with 40 years of experience. The provider is 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. Tatiana Marie Mamantov, MD NPI is 1629069059. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
Education
Medical School: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduation Year:1984
The provider's business location address is:
20103 LAKE CHABOT RD
CASTRO VALLEY, CA
ZIP 94546-341
Phone: (209) 342-2300
Fax: (209) 524-4240
The NPI 1629069059 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 11/3/2005 and was last updated on 7/30/2008.