Individual
RAMIN FATHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5499
(480) 301-8000
Mailing address
1595 E RIVER RD, SUITE 201, TUCSON, AZ 85718
(520) 293-5757
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
55959
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
55959
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80355
—
AZ
Enumeration date
05/31/2013
Last updated
05/17/2021
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