Provider Demographics
NPI:1720421282
Name:ASIAII, ATENA (MD)
Entity type:Individual
Prefix:MRS
First Name:ATENA
Middle Name:
Last Name:ASIAII
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 HOSPITAL DR STE 450
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4171
Mailing Address - Country:US
Mailing Address - Phone:650-694-3870
Mailing Address - Fax:650-694-3871
Practice Address - Street 1:2495 HOSPITAL DR STE 450
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4171
Practice Address - Country:US
Practice Address - Phone:650-694-3870
Practice Address - Fax:650-694-3871
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-15
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA278453207V00000X
CAA162311207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology