Provider Demographics
NPI:1972820686
Name:VARTANIAN, MARGARET ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANNE
Last Name:VARTANIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1422 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4110
Mailing Address - Country:US
Mailing Address - Phone:650-903-9500
Mailing Address - Fax:650-903-9900
Practice Address - Street 1:1422 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4110
Practice Address - Country:US
Practice Address - Phone:650-903-9500
Practice Address - Fax:650-903-9900
Is Sole Proprietor?:No
Enumeration Date:2010-04-21
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA119998208600000X, 207L00000X
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program