Provider Demographics
NPI:1487847901
Name:FAINSTAT, MARY FRANCES
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:FRANCES
Last Name:FAINSTAT
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MARY
Other - Middle Name:FRANCES
Other - Last Name:MAMULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:131 PUESTA DEL SOL
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1132
Mailing Address - Country:US
Mailing Address - Phone:408-866-7519
Mailing Address - Fax:408-866-7519
Practice Address - Street 1:131 PUESTA DEL SOL
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1132
Practice Address - Country:US
Practice Address - Phone:408-866-7519
Practice Address - Fax:408-866-7519
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG034304207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology