Individual
DR. RAMI G FASHEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 ROSSMOOR PKWY, WALNUT CREEK, CA 94595-2501
(925) 947-3393
(925) 947-3396
Mailing address
DEPT 34929, P.O. BOX 39000, SAN FRANCISCO, CA 94139-0001
(925) 952-2828
(925) 952-2850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01066018A
IN
207R00000X
Internal Medicine Physician
01066018A
IN
208M00000X
Hospitalist Physician
Primary
A115812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000619121
ANTHEM PIN
—
01
—
100180890G
MEDICARE GROUP
IN
05
—
200944900
—
IN
01
—
50027288
PASSPORT
KY
05
—
7100086440
—
KY
01
—
P00760401
RAIL ROAD MEDICARE
—
Enumeration date
02/20/2007
Last updated
06/09/2014
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