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Organization
SHIREE FATCH MEDICAL CORPORATION
Active
Organization
SHIREE FATCH MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIREE SEGEV FATCH DO (OWNER)
(916) 783-0580
Entity
Organization
Contact information
Practice address
1650 LEAD HILL BLVD STE 400, ROSEVILLE, CA 95661-3072
(916) 783-0580
Mailing address
1650 LEAD HILL BLVD STE 400, ROSEVILLE, CA 95661-3072
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
06/20/2025
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