Provider Demographics
NPI:1003918509
Name:TATARU, CHRIS DRAGOS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:DRAGOS
Last Name:TATARU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:DRAGOS
Other - Middle Name:CRISTIAN
Other - Last Name:TATARU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1535 FARMERS LN # 335
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95405-7525
Mailing Address - Country:US
Mailing Address - Phone:650-722-0923
Mailing Address - Fax:
Practice Address - Street 1:3351 EL CAMINO REAL STE 220
Practice Address - Street 2:
Practice Address - City:ATHERTON
Practice Address - State:CA
Practice Address - Zip Code:94027-3802
Practice Address - Country:US
Practice Address - Phone:650-722-0923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA54926207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology