Provider Demographics
NPI:1659130706
Name:MACARAIG, CHIARA PANGILINAN (DO)
Entity Type:Individual
Prefix:
First Name:CHIARA
Middle Name:PANGILINAN
Last Name:MACARAIG
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:CHIARA THERESE
Other - Middle Name:PANGILINAN
Other - Last Name:MACARAIG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1101 VAN NESS AVE # 1120
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-6919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1101 VAN NESS AVE # 1120
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-6919
Practice Address - Country:US
Practice Address - Phone:415-600-3954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program