Provider Demographics
NPI:1821295247
Name:GIANNELLI, SILVANA MARISA (MD)
Entity type:Individual
Prefix:
First Name:SILVANA
Middle Name:MARISA
Last Name:GIANNELLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10807 LAUREL ST STE 200
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-0633
Mailing Address - Country:US
Mailing Address - Phone:909-894-8791
Mailing Address - Fax:
Practice Address - Street 1:10807 LAUREL ST STE 200
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0633
Practice Address - Country:US
Practice Address - Phone:909-757-8078
Practice Address - Fax:909-244-9652
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA109512207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism