Provider Demographics
NPI:1114098688
Name:STRATZ, CAROLINE K (MD)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:K
Last Name:STRATZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:205 SOUTH DR
Mailing Address - Street 2:STE A
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4323
Mailing Address - Country:US
Mailing Address - Phone:650-969-6000
Mailing Address - Fax:650-969-6008
Practice Address - Street 1:205 SOUTH DR
Practice Address - Street 2:STE A
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4323
Practice Address - Country:US
Practice Address - Phone:650-969-6000
Practice Address - Fax:650-969-6008
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA063557207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A1114098Medicare UPIN
CAH21646Medicare UPIN