# PARVEZ FATTEH, MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518217769
- **Authorized official:** DR. PARVEZ MEHBOOB FATTEH M.D. (PRESIDENT)
- **Authorized official phone:** (510) 742-5795

## Contact information

- **Practice address:** 2287 MOWRY AVE, STE. H, FREMONT, CA 94538-1622
- **Practice address phone:** (510) 742-5795
- **Practice address fax:** (510) 742-5799
- **Mailing address:** 5820 STONERIDGE MALL RD, \#203, PLEASANTON, CA 94588-3274
- **Mailing address phone:** (510) 742-5795
- **Mailing address fax:** (510) 742-5799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | A66560 | CA | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012