Provider Demographics
NPI:1083078091
Name:TENOLD, PATRICIA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:TENOLD
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:ARAJ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:39500 FREMONT BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2101
Mailing Address - Country:US
Mailing Address - Phone:510-248-1800
Mailing Address - Fax:
Practice Address - Street 1:39500 FREMONT BLVD STE 100
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-2101
Practice Address - Country:US
Practice Address - Phone:510-248-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-06
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA152626208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics